ORDER FORM
Item#
|
Description /Title
|
Color(s)
|
Price
Each
|
Quantity
|
Extension
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
GA Residents Add 7% State Sales Tax
|
|
|
|
|
|
Shipping/Handling/Insurance * (see below)
|
|
|
|
|
|
|
|
|
Grand Total
|
|
Basic Shipping Information
Please indicate if you have a 1st, 2nd, etc., choice of color(s), style(s), titles etc.
We will not substitute without your approval.
All sales are final, no returns or exchanges.
Insurance is required on all shipments.
* E-mail Faye re all shipping/handling/insurance charges.*
Feel free to copy this page, complete necessary info, scan/e-mail or snail mail pages to me via
info on Contact Page.
Payments made by personal checks will not be shipped until funds have been transferred to my Bank.
All International shipment inquiries, E-mail Faye.
We strive to handle shipments in a timely manner.
Client Billing Information
|
Billing Info
|
Full Legal Name
|
|
Stage Name
|
|
Street Address
|
|
Street Address
|
|
City, State, Zip
|
|
Daytime Phone #
|
|
Evening Phone #
|
|
Cellular Phone #
|
|
E-mail Address
|
|
Your Website Name
|
|
Special Details?
|
|
Client Shipping Information
|
Shipping Info - if different
|
Full Legal Name
|
|
Business or Residential ?
|
|
Street Address
|
|
Street Address
|
|
City, State, Zip
|
|
Preferred Phone #
|
|
Preferred Time to Call
|
|
E-mail Address
|
|
Payment Information
Circle Form of Payment
Enter Payment Amount
$_________
U S Funds Only
|
~ Visa ~ Mastercard ~ Cashiers Check ~
~ Money Order ~ Travelers' Check ~
~ Personal Check & Check # _____ ~
~ To Err Is Human, To Forgive - $35.00 ~
$35 fee for each returned check, no exceptions
|
Credit Card #
|
|
Expiration Date
|
|
Printed Name Exactly as it Appears on Credit Card
|
|
Cardholder's Statement Billing Address
(Street Address/City/State/Zip Code)
|
|
Cardholder's Home Phone #
|
|
Cardholder's E-mail Address
|
|
Signature of Card Holder
|
|
Last 3 digits on Back of Card, in the Signature Box (new security procedure)
|
Site design by SOX Ltd 2003 © All Rights
Reserved.