Mail Order Form
Phone: 360 705 1237
Customer: Ship to:(If different from 'Customer')
Name:______________________________________ Name:_____________________________________
Address:___________________________________ Address:___________________________________
City:______________________________________ City:______________________________________
State/Provo:________________________________ State/Provo:________________________________
Daytime Phone:_____________________________
Evening Phone:_____________________________
Email:_____________________________________
Number/Description Qty. Price Total
Each
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Sub Total | |
Method of Payment: ----------------------------------
Charge to my account (circle one) Shipping & Handling | |
Visa|MasterCard|American Express ----------------------------------
Credit Card Information: ----------------------------------
Number_______________________________ Total | |
Expiration Date______________________ ----------------------------------
Signature____________________________
____Check or Money Order Enclosed (U.S. Funds only) Mail to: Shipping and Handling: D n' H Enterprises Inc Spices America Orders (0-$50.00) $10.00 5620 46th Lane SE ($50.01-$75.00) $15.00 Lacey, WA 98503 ($75.01-$100.00) $20.00 ($100.01-$150.00) $25.00 (Over $150.00 call for rate) Outside U.S. Actual Cost plus $1.50 Handling
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