FragranceWholesale.com
P.O. Box 358 Pebble Beach CA. 93953 USA
Print this form and use it for reference when placing your
order by mail.
| (A) Ship To:
(name and address) UPS can not ship to Post Office Boxes |
(B) Bill To:
(please fill in bill to information if this differs from your shipping address) |
| Name: _____________________________ | Name: _________________________ |
| Address: ___________________________ | E-mail: _________________________ |
| Address:____________________________ | Address: ________________________ |
| City:________________________ State:___ Province:______ Zip:______ Country:_______ |
Address: ________________________ |
| Telephone:__________________________ | City:_____________________ State:___ Province:________ Zip:____ Country:_______ |
| E-mail: _____________________________ | Daytime Telephone:________________ |
| Above information must match your issuing banks records when using a credit card. |
(C) List of Items:
| Item #: | Item Name: | Quantity: | Price per Item: | Total: |
| _______ | _________________________ | ______ | ___________ | _________ |
| _______ | __________________________ | ______ | ___________ | _________ |
| _______ | _________________________ | ______ | ___________ | _________ |
(D) Totals & Shipping:
International
Shipping Charges (All international orders are shipped via USPS)
Shipments can take up to 3 weeks.
(American Express or Money orders only)
|
| Merchandise Total:________ | |
| (Our minimum order is 25.00, not including the cost of shipping.) | |
| UPS Ground Shipping (see chart):________ | |
| UPS can not ship to Post Office Boxes | |
| ONLY add 7.25% sales tax if you are a resident of California:_______ | |
| TOTAL:_______ |
(E) Method of Payment:
For international orders: we only accept American Express or Money orders.
___ Check or money order (payable to "CFL INC")
___ American Express ___ Mastercard ___ Visa ____Discover
Credit card #____________________________ &
exp. date:____________
800 # on back of credit card__________________________
I agree to pay the above total amount according to card issuer
agreement X_________________________Date_______
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