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) Pearlized Nautilus Table Lamp 45.00
USPS Priority Mail, includes delivery confirmation and insurance 10.07
** gee, shipping & insurance has increased a lot!! Sorry! **
**California residents also pay 8.75% sales tax 3.94 **
TOTAL DUE for sales to all US States excluding California: 55.07
TOTAL DUE for sales shipping to California: 59.01 **
If you want to order other items, simply write it on the form. Shipping and insurance will 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) Pearlized Nautilus Table Lamp 45.00
USPS Priority Mail, includes delivery confirmation and insurance 10.07
** gee, shipping & insurance has increased a lot!! Sorry! **
**California residents also pay 8.75% sales tax 3.94 **
TOTAL DUE for sales to all US States excluding California: 55.07
TOTAL DUE for sales shipping to California: 59.01 **
If you want to order other items, simply write it on the form. Shipping and insurance will 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.
