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
Please type or print!
Date:
Phone: (     )
   
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)


  
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.
* Additional Space.



  [  ]   Fax Back my Order Confirmation

NO minimum order. For additional Items simply print additional order form.

Print, Enter Product Information, and fax to 610-706-0619 for FAST Order Confirmation.

We will verify your Complete Order and Total Cost including S/H to you via Email.

Description Price per
Item
Quantity Shipping
Total
           
           
           
           
           
           
 

Total Amount of Order

 
 

PA State Sales Tax 6.0%

 
 

Total Enclosed

 

Check here to authorize delivery amounts to be applied to Credit Card: [  ]

Thank you for your order! We appreciate your business. - trims-things.com

Copyright 2001 Millennium Internet Development - Patricia Greene, www.Midco2000.com

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