SES GENERIC ORDER FORM

Special Effect Supply Corp.
164 East Center ST
North Salt Lake UT 84054
801-936-9762 -- FAX: 801-936-9763
sales@fxsupply.com

HOW TO COPY and USE THIS FORM:

You can also download an ORDER FORM in PDF format from our Print Shop

DATE:
 
SOLD TO (Credit Card Billing):        SHIP TO (If different from Sold to):
 
 
 
 
 
 
 
PHONE:
email:
FAX:

Credit Card Payment: (circle one):VISA   MASTERCARD  AMX   Discover

Credit Card Number: ______________________________________________________
 
Expiration Date ________         Bank Name/No. __________________________
 
Signature: X ___________________________
 
Note: Please make sure you give your name exactly as
it appears on your credit card and the correct billing address for your card.


ITEM No. QUANTITY DESCRIPTION                       PRICE EACH   TOTAL
        |        |                                 |      |     |
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        |        |                                 |      |     |
        |        |                                 |      |     |
        |        |                                 |      |     |
   Total of Merchandise ($25 Min.in USA, $50-$200 min. foreign) |
                                                                |
               Utah residents add 6.5% Sales Tax (if required)  |
                                                                |
                                                                |
                                  Shipping and Handling Charges |
                                                                |
                                       COD charge (if required) |
                                                                |
                                                           TOTAL|
                                                       
Make checks payable to: Special Effect Supply
 
[ ] check here if you request an email confirmation of your order.
(Please send email stating that you are placing an order.)
 
[ ] check here if you want us to calculate shipping charges for you.
 
[ ] check here if you want us to ship "Best Way" and add shipping charges.
 
[ ] check here if you want a QUOTE ONLY.


HOW TO COPY AND USE THIS FORM:
Use this form especially if you intend to use a credit card. Simply print it from your browser as text only (no html code). Fill in all appropriate blanks and FAX it directly to us at 801-936-9763.

Use this form to order directly through the mail or FAX machine.

PLEASE NOTE: If you are using a credit card to pay for your purchase, Please use the address that appears on your credit card statement.


This page originally posted: 09/07/1995
This page last updated: