Order Form
|
|
|
Please print this page and include with your order.
Section 1
Email Address:________________________________________________
First Name:___________________Last Name:_______________________
Street Address:________________________________________________
P.O. Box or Suite/Lot Number:____________________________________
City:__________________________________State:__________________
Zip/Postal Code:____________________Country:____________________
Telephone Number:_(____)_____________Fax Number:_(____)______________
Section 2
Is the shipping address the same as the information above?
Yes_____ or No_____
If yes, skip this section and go to section number 3 below.
If no, please enter the shipping address information below:
First Name:___________________Last Name:_______________________
Street Address:________________________________________________
P.O. Box or Suite/Lot Number:____________________________________
City:__________________________________State:__________________
Zip/Postal Code:____________________Country:____________________
Telephone Number:_(____)_____________Fax Number:_(____)______________
Section 3
Items or Services you are ordering:
Part Number:___________ Description:_________________________
Quantity:________Price Each:$___________Total Price:$___________
Part Number:___________ Description:_________________________
Quantity:________Price Each:$___________Total Price:$___________
Part Number:___________ Description:_________________________
Quantity:________Price Each:$___________Total Price:$___________
Part Number:___________ Description:_________________________
Quantity:________Price Each:$___________Total Price:$___________
$__________Subtotal
$__________Sales Tax (GA residents ONLY include 7% sales tax)
$__________Shipping & Handling Charges - See your quote
Canadian & Overseas customers: inquire about shipping costs before ordering
Specify Standard, Priority, Overnight, or Other (circle one)
$__________Insurance ($2.30 per $100.00 of merchandise)
$__________Payment Total
Section 4
Please make all payments out to THIS OLD TOY:
Payment by Money Order will insure that your order is shipped immediately. Please allow 2-3 weeks for a personal check to clear.
Canadian and Overseas Buyers: payment must be made to us in US Funds, and drawn on a US Bank. This means that Postal Money Orders from Canada or Overseas do NOT qualify, since the funds are not DRAWN from a US Bank. If you choose to remit payment via a Canadian or Overseas Postal Money Order, you must include an extra $25.00 US for out-of-country collection fees that are charged for such service.
Please do NOT send cash to us!
Personal Check: #___________________
Money Order: #_____________________
Other (specify method):__________________________________
Section 5
Thank you for your order! Please double-check all of your entries for completeness and correctness! We will notify you via email (if possible) when we receive and ship your merchandise.
This Old Toy This Old Toy This Old Toy This Old Toy This Old Toy This Old Toy This Old Toy This Old Toy This Old Toy