Mail/Fax Order Form

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house decorating including

PRINTABLE MAIL & FAX ORDER FORM

(Print and Mail/Fax to us at 281-568-7018)

Ordered by:

Ship To: (if different)

____________________________		____________________________
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Ref	Item #	Description	Qty	Web Price	Qty times Web Price
1
2
3
4
5
SUBTOTAL
SHIPPING (see chart below)
SALES TAX (TX, AZ and CA add 8.25%)
TOTAL

Purchase Amount	Shipping Cost
0.00 to 49.99	8.00
50.00 to 79.99	9.00
80.00 to 99.99	10.00
100.00 to 149.99	15.00
150.00 to 199.99	20.00
100.00 to 149.99	15.00
200.00 up	25.00

Mail or Fax To:
Discount Home Decor Gifts
9603 Weybridge
Houston TX 77031
Fax 281-568-7018
Phone: 281-495-0449
E-Mail: orders@valuebuy.net

CHOOSE PAYMENT METHOD:	Special Notes:
[ ] Mail money order. Payable to Discount Home Decor
[ ] Credit card* via Mail or Fax
(ENTER BILLING ADDRESS EXACTLY AS SHOWN ON CREDIT CARD STATEMENT):

[ ] Visa

[ ] MasterCard

[ ] Discover

[ ] American Express

Name on Card:	_________________________________________
Billing Address:	_________________________________________
	_________________________________________
E-mail:	_________________________________________
Telephone:	_________________________________________
Card Number:	________________________ Exp. Date: ____/____
Signature:	_________________________________________

Order by Phone: 281-495-0449 or by Fax: 281-568-7018 or Shop Online at http://www.valuebuy.net e-mail address orders@valuebuy.net. Place your order, 7 days a week, 24 hours a day. Please have your completed order form and payment information completed on the Mail/Fax Form and mail or fax it to us 24 hours a day 281-568-7018 FAX Number. We only accept credit card or money order payments.

Mail or Fax To:
Discount Home Decor Gifts
9603 Weybridge
Houston TX 77031
Fax 281-568-7018
Phone: 281-495-0449
E-Mail: orders@valuebuy.net

Mail/Fax Order Form

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Roller Blinds share our passion for roller blinds

To order by phone call 1-281-495-0449

We Accept the Following Credit Cards:

We Also Accept PayPal