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NOTE: YOU DO NOT NEED TO
USE THIS FORM UNLESS YOU WANT TO PRINT IT OUT AS A BLANK FORM TO FILL OUT
AND MAIL WITH A CHECK
SERENITY MOUNTAIN
ORDER FORM
(Note: you may order and pay by credit card NOW if you click on the "ADD
TO CART" icon for any product
AT THE BOTTOM OF ANY PAGE and pay through Paypal.)
TO ORDER BY POSTAL MAIL, YOU MAY print this out as it is, then manually
fill it out; include payment
with
check or money order in US funds - OR USE A PLAIN SHEET OF PAPER AND INCLUDE ALL
THE INFORMATION CALLED FOR
BELOW . (We're not fussy!)
Ship
To:_________________________________________________________
Date:_________________
Shipping Address:_________________________________________
City:_________________________
State:_______________ Country:______________ Shipping or Zip
Code:__________________________
Buyer's email:_______________________________________
Phone:_____________________________
How many - Order Number - Description of item (include size/color /weight if
needed) - Cost Each - Total
cost
- Special notes or instructions:
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________TOTAL:________________________________________
AMOUNT REMITTED: Make check or Money Order to Ed Wilcox
_________________________________
NOTE THERE ARE TWO PRICES FOR MOST ITEMS; ONE FOR USA AND CANADA
SHIPPING; THE
OTHER
FOR ALL OTHER COUNTRIES. BE SURE YOU HAVE USED THE RIGHT PRICES. THANKS!
Mail to:
Ed
Wilcox
25 Triangle Lane #37-C
Batesville, AR 72501
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