|
Fax and Mail Order
Form |
|
| Billing
Information: |
|
| Today's
Date____________________________ |
| Bill-to
Name_______________________________________________ |
| Company
Name_______________________________________________ |
| Address_____________________________________________ |
| City______________________ State__________________
Zip________________ |
| Phone__________________________
Email_____________________________________ |
| Credit Card
Type______________________________ |
| Credit Card
Number_______________________________ Expiration
Date______________ |
| Comments___________________________________________________________________________ |
| ____________________________________________________________________________________ |
|
| Recipient
Information |
|
| Item
#___________________ |
| Ship-to
Name__________________________________________ |
| Company
Name__________________________________________ |
| Address_____________________________________________ |
| City_______________________ State___________________
Zip_________________ |
| Phone____________________________________ |
| Item Price $___________
Shipping___________ |
| To be delivered
by________/_________/__________ |
| Greeting Card Text
____________________________________________________________________ |
| ____________________________________________________________________________________ |
| Special
Instructions____________________________________________________________________ |
| ____________________________________________________________________________________ |
|
| Item
#___________________ |
| Ship-to
Name__________________________________________ |
| Company
Name__________________________________________ |
| Address_____________________________________________ |
| City_______________________ State___________________
Zip_________________ |
| Phone____________________________________ |
| Item Price $___________
Shipping___________ |
| To be delivered
by________/_________/__________ |
| Greeting Card Text
___________________________________________________________________ |
| ___________________________________________________________________________________ |
| Special
Instructions___________________________________________________________________ |
| ___________________________________________________________________________________ |
|
| Item
#___________________ |
| Ship-to
Name__________________________________________ |
| Company
Name__________________________________________ |
| Address_____________________________________________ |
| City_______________________ State___________________
Zip_________________ |
| Phone____________________________________ |
| Item Price $___________
Shipping___________ |
| To be delivered
by________/_________/__________ |
| Greeting Card Text
___________________________________________________________________ |
| ___________________________________________________________________________________ |
| Special
Instructions___________________________________________________________________ |
| ___________________________________________________________________________________ |
|
| Item
#___________________ |
| Ship-to
Name__________________________________________ |
| Company
Name__________________________________________ |
| Address_____________________________________________ |
| City_______________________ State___________________
Zip_________________ |
| Phone____________________________________ |
| Item Price $___________
Shipping___________ |
| To be delivered
by________/_________/__________ |
| Greeting Card Text
___________________________________________________________________ |
| ___________________________________________________________________________________ |
| Special
Instructions___________________________________________________________________ |
| ___________________________________________________________________________________ |
|
| Item
#___________________ |
| Ship-to
Name__________________________________________ |
| Company
Name__________________________________________ |
| Address_____________________________________________ |
| City_______________________ State___________________
Zip_________________ |
| Phone____________________________________ |
| Item Price $___________
Shipping___________ |
| To be delivered
by________/_________/__________ |
| Greeting Card Text
___________________________________________________________________ |
| ___________________________________________________________________________________ |
| Special
Instructions___________________________________________________________________ |
| ___________________________________________________________________________________ |
|
| Fax
Orders: |
|
| Please print this form, complete it and fax it to 570-488-7156 btw. 9am & 5pm EST. Monday thru Friday. |
|
| Mail
Orders: |
|
| Please print this form, complete it and mail it with your check or credit card information to: |
|
| Annie Mack Creations |
| CheesecakeFantasy. Com
|
| 22 Russells Lane |
| Waymart, Pa. 18472-9418 |
|
| Questions? Call 570-488-7156 |
|