Order Form - Tiger Baby

Order Form
[email protected]
Customer #__________________________________
We ship via
Order # _____________________________________
Billing Address:
Shipping
Shipping Address:
School: ____________________________________
Name: _____________________________________
School: ____________________________________
Name: _____________________________________
Street:_____________________________________
City: ______________________________________
State: ________________ Zip: _________________
Street: _____________________________________
City:_______________________________________
State: ________________ Zip: _________________
Tel: (________) _____________________________
Tel: (________) _____________________________
Item#
Product Description
Check One
Major Credit Card
VISA
MC
Am Exp
Qty
Check#__________________
Make check payable to Adena montessori
_____________________________________
(Ohio Residents Only)
Subtotal from Page# 3
Grand Subtotal
billingaddress for Credit
if different from shipping
Print name as it appearson CreditCard
____________________________________
_____________________________________
____________________________________
Credit Card Account Number:
Total
6.75% Sales Tax
Subtotal from Page# 2
Paypal (our PaypalAccount is [email protected])
Authorized Charge card Signature
Price After Discount
Grand Subtotal
This Page Subtotal
Discover
the same as billing Address
Shipping charge(Continental United States):
This rate is calculated based on Subtotal Price
(After Discount).
$0 - $20: $12;
$20.01 - $60.00: $16;
$60.01 - $500.00: $10+subtotal*10% ;
over $500 is FREE
Shipping
Signature:____________________________
Date: _______________________________
Expiration Date: Month
By
formyou
youagree
agreetotothe
the
Terms
and
conditions
of our
company.
Bysigning
signing this
this form
Terms
and
conditions
of our
company.
Year
CID Code: (3/4 Digit) from
The back of Credit Card:
Am Exp. CID code is at front lower right hand
corner of the card.
All orders paid by Credit Card must include CID
code# Improper code will delay the order.
Tel: (______)__________________________
All prices are subject to
change without notice.
Foreign order payments
must be made in US
funds
Fax: (______)__________________________
E-mail: _______________________________
OH Tax Exempt# _______________________