![]() |
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
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
| | | | |
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: