FAX ORDER Print out this form, fill it in and fax it to: 1 (760) 929-1251
www.seashells4u.com For VISA, Mastercard and American Express
Phone: (760) 525-6650 / Fax: (760) 929-1251 E-mail: lorri@seashells4u.com
NAME: _____________________ phone: ______________________ Email: _________________
credit card info: Ex. date: __________number :____________________________
SHIPPING ADDRESS: (sorry no PO Box) _________________________________
CITY STATE ZIP: _____________________________________________________
? Is shipping address the same as your billing address for the credit card?
YES ______ NO ______
Place my order as listed / indicated below.
Signature: _______________________________
www.seashells4u.com For VISA, Mastercard and American Express
Phone: (760) 525-6650 / Fax: (760) 929-1251 E-mail: lorri@seashells4u.com
NAME: _____________________ phone: ______________________ Email: _________________
credit card info: Ex. date: __________number :____________________________
SHIPPING ADDRESS: (sorry no PO Box) _________________________________
CITY STATE ZIP: _____________________________________________________
? Is shipping address the same as your billing address for the credit card?
YES ______ NO ______
Place my order as listed / indicated below.
Signature: _______________________________
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