| FAX/MAIL ORDER FORM |
|
Print and Mail or FAX to:
Soo Many Baskets 46 Timber Ridge Drive Commack, New York
11725 |
| ORDERED BY |
SHIP TO (If Different) |
|||
| Name | ||||
| Address | ||||
| City/State | Zip: | Zip: | ||
| Day Phone | ||||
| Alt. Phone | ||||
| FAX | ||||
|
Shipping Address is a __ Residence __Business |
||||
|
QTY |
UNITS |
DESCRIPTION |
UNIT PRICE |
TOTAL |
| Card Message:
|
|||
| Credit Card Number: | Sub Total | ||
| Expiry Date: | |||
| Card Type: | NY State Tax | ||
| Cardholder: | Amt. Due | ||
|
If sending payment, please enclose check or money order, payable to Soo Many Baskets |
|||
|
TERMS: Net cash with order. Orders will be shipped upon receipt of payment. |