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:
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:
| ||||||||||||||||||||||||||||||||||||||||||||||||||||