PARTIES 2 PERFECTION 4U ORDER FORM
YOU MAY EITHER PHONE IN, FAX IN, MAIL IN OR E-MAIL YOUR ORDER
| CUSTOMER NAME: |
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| ADDRESS: (no PO boxes) |
If Paying by Credit Card, is this the
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| CITY, STATE, ZIP CODE |
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| DAYTIME PHONE NUMBER: (
) |
E-MAIL: |
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ITEM |
PERSONALIZATION |
QUANTITY |
PRICE |
TOTAL PRICE |
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| SPECIAL INSTRUCTIONS:
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SUB-TOTAL | ||||
| shipping &
handling (see chart below) |
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TOTAL AMOUNT DUE |
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PAYMENT METHOD: CREDIT CARD NUMBER CVV NUMBER (this is the last 3 digits located on signature panel on back of card)
EXPIRATION DATE __ __ /
__ __ __ __ |
(call to inquire about additional
charges added for chocolate during hot weather shipment) Mandatory Insurance Coverage Fee ** PLEASE CHECK ALL
INFORMATION CAREFULLY. |