FAX ORDER Print out this form, fill it in and fax it to: 1 (760) 929-1251
www.seashells4u.com
www.from-the-sea.com For VISA, Mastercard and American Express
Phone: (760) 525-6650 E-mail: lorri@seashells4u.com
Fax: (760) 929-1251
NAME: _____________________ phone: ______________________ Email: _________________
credit card info: Ex. date: __________number :____________________________
** PLEASE GIVE YOUR BILLING ADDRESS BELOW – FOR cc APPROVAL
BILLING ADDRESS: __________________________________________________
CITY STATE ZIP: _____________________________________________________
SHIPPING ADDRESS: (if different) ______________________________________
CITY STATE ZIP: _____________________________________________________
Place my order as listed / indicated below.
Signature: _________________________
I authorize you to charge the credit card for the following: PLEASE CIRCLE CHOICE:
(1) 5 larger shell bracelet, or
(1) 6 medium shell, or
(1) 7 smaller shells, including a red strawberry shell
1 seashell bracelet 179.00
California residents also pay 7.75% sales tax 13.88 **
USPS Priority Mail, delivery confirmation + Insurance 7.40
TOTAL DUE for sales to all US States excluding California: 186.40
TOTAL DUE for sales shipping to California: 200.28 **
If you want to order the matching pendant or other pendant, too, simply write it on the form. Shipping and insurance may
increase slightly. We will E-mail to confirm your order and total charges.
www.seashells4u.com
www.from-the-sea.com For VISA, Mastercard and American Express
Phone: (760) 525-6650 E-mail: lorri@seashells4u.com
Fax: (760) 929-1251
NAME: _____________________ phone: ______________________ Email: _________________
credit card info: Ex. date: __________number :____________________________
** PLEASE GIVE YOUR BILLING ADDRESS BELOW – FOR cc APPROVAL
BILLING ADDRESS: __________________________________________________
CITY STATE ZIP: _____________________________________________________
SHIPPING ADDRESS: (if different) ______________________________________
CITY STATE ZIP: _____________________________________________________
Place my order as listed / indicated below.
Signature: _________________________
I authorize you to charge the credit card for the following: PLEASE CIRCLE CHOICE:
(1) 5 larger shell bracelet, or
(1) 6 medium shell, or
(1) 7 smaller shells, including a red strawberry shell
1 seashell bracelet 179.00
California residents also pay 7.75% sales tax 13.88 **
USPS Priority Mail, delivery confirmation + Insurance 7.40
TOTAL DUE for sales to all US States excluding California: 186.40
TOTAL DUE for sales shipping to California: 200.28 **
If you want to order the matching pendant or other pendant, too, simply write it on the form. Shipping and insurance may
increase slightly. We will E-mail to confirm your order and total charges.
- Items in stock will ship within 2 days of receiving your order. We will E-mail to confirm receipt of your order & advise
expected shipping date.
- All sales final. If the item breaks in transit we will file an insurance claim and ship a replacement.
