Order Form
Mail to:Especially From Karen
31 Elmwood Drive
Pittsgrove,NJ 08318
Order Toll-Free (USA) Phone 877-558-7397
Item(s):
___________________________________________________________________________________________________________
Size: Quanity:
___________________________________________________________________________________________________________
Price:
___________________________________________________________________________________________________________
Merchandise Total:
___________________________________________________________________________________________________________
*Shipping Total:
___________________________________________________________________________________________________________
Total:
___________________________________________________________________________________________________________
Shipping Information:
___________________________________________________________________________________________________________
Name: ___________________________________________________________________________________
Street Address:
___________________________________________________________________________________________________________
City, State, Zip Code:
___________________________________________________________________________________________________________
Method of payment (sorry, no cash or CODs)
| | Check/Money Order (a $30 fee will be charged for returned checks)
| | VISA (13 or 16 digits) | | MasterCard (16 digits)
| | Discover (16 digits)
Credit Card # | | | | | | | | | | | | | | | | |
Expitation Date (MM/YY)______/_______
Please print out this form and mail to the above address.
*See shipping rates on page two of order form
Shipping Rates:
Purchase Total | Rates* |
| 0-25 | 5.95 |
| 26-50 | 7.95 |
| 51-75 | 9.95 |
| 76-100 | 10.95 |
| 101-150 | 13.95 |
| 151-200 | 15.95 |
| 201 + | 18.95 |