|
PRINTABLE MAIL & FAX ORDER FORM (Print and Mail/Fax to us at 281-568-7018) |
||
| Ordered by: | Ship To: (if different) | |
| ____________________________ | ____________________________ | |
| ____________________________ | ____________________________ | |
| ____________________________ | ____________________________ |
| 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 |
|||||
|
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 | |
|
|
| [ ] Visa | [ ] MasterCard | [ ] Discover | [ ] American Express |
| Name on Card: | _________________________________________ |
| Billing Address: | _________________________________________ |
| _________________________________________ | |
| E-mail: | _________________________________________ |
| Telephone: | _________________________________________ |
| Card Number: | ________________________ Exp. Date: ____/____ |
| Signature: | _________________________________________ |
|
|
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