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Please Print this form and Fax it to:
1-800-810-0668
24 hours a day / 7 days a week
Orders are processed promptly
To Use Secure Server Click
Here
Get $5.00 INSTANT Rebate When You Use "Pay Pal" To Order Your Easel!
For Visa & Master card
Please be sure all the information has been filled out correctly & completely.
Billing Information:
Method of payment
Please circle one
Master Card Visa American Express Discover
C.O.D.(money order only) Check By Fax
Please enter 16 digit Credit Card number in spaces provided below
_ _ _ _ -_ _ _ _- _ _ _ _-_ _ _ _
enter credit card expiration date below
_ _ / _ _
Name on Credit Card
First Name __________________________Last Name______________________________
Area Code (_ _ _) Phone Number _ _ _ - _ _ _ _
Billing Address on Credit Card
Address_____________________________________________________________________
City__________________________________________State__________________________
Country_________________________________________________
Check By Fax
We electronically debit your checking account. All check orders must clear before shipment.
Please make check payable to: A-1 Easel Man
to ensure we get the correct information please tape your check here
Natural Mahogany
Quantity of Easels Ordering today
QTY.__________________
Shipping Information:
Ship To:
Name__________________________________________________________________
Shipping Address:
City_______________________________________________State_________________
Country_________________________________
Credit Card orders Total for one easel Shipped in the USA = $125.00
C.O.D. orders require an additional $10 processing fee. C.O.D. Total = $ 135.00
For orders shipped in the USA
Orders shipped in California require State tax of 8.25% extra on all orders.
T h a n k Y o u f o r Y o u r
O r d e r !!
click here to use a Secure Server to pay with Visa or Master Card.
A-1 Easel
Man
U S A