| HOME Customer Fax Order: Trims-Things.com Print this page. | |||||||
| P.O.Box: 453, Emmaus Pa 18049 | |||||||
| Fax: 1-610-706-0619 Order By Phone: 888-771-0618 | |||||||
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Please type or print! |
Date: |
Phone:
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CREDIT CARD INFORMATION: CC Type and Number: Name on card: Card Billing Address: Expiration Date: |
Total # of Products Ordered: Discount ID# and %: Sales Tax: US Mail Shipping Cost: |
Additional Info: (enter here) |
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| Name: | OFFICE Use Only: | ||||||
| Deliver To Address: | Out of Stock Item#: | ||||||
| City: | Special Instructions: | ||||||
| State: | Zip: | Code: | Other: | ||||
| Your Email Address: | [ ] Add me to your Mailing List | ||||||
| All Orders Require Payment In Full: Provide Credit Card information for fastest service. Money orders and checks may be mailed to the address above following Order Confirmation via email. | |||||||
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Additional Space. [ ] Fax Back my Order Confirmation |
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NO minimum order. For additional Items simply print additional order form. |
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Print, Enter Product Information, and fax to 610-706-0619 for FAST Order Confirmation. |
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We will verify your Complete Order and Total Cost including S/H to you via Email. |
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| Description | Price per Item |
Quantity | Shipping |
Total | |||
Total Amount of Order |
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PA State Sales Tax 6.0% |
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Total Enclosed |
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Check here to authorize delivery amounts to be applied to Credit Card: [ ] |
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Thank you for your order! We appreciate your business. - trims-things.com |
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Copyright 2001 Millennium Internet Development - Patricia Greene, www.Midco2000.com |
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