DINNER THROUGH A STRAW - PRINTABLE ORDER FORM
Print out this page to fax or mail in your order.
QUANTITY |
ITEM # |
DESCRIPTION |
UNIT PRICE |
TOTAL PRICE |
| TN Sales Tax (9.75%) | $ |
| Shipping & Handling Charge | $ |
| (U.S. Funds Only) Total Amount Due | $ |
| Check Enclosed ______ | Please Bill ______ | ||
| Visa or Mastercard # _______________________________________________ | Exp. Date ___________ | ||
| Purchase Order # (where required) ______________________ | |||
SHIP TO:
| |||||
| Personal Contact Name | _________________________________________________________ | ||||
| Business Name |
_________________________________________________________ | ||||
| Address |
_________________________________________________________ | ||||
| City |
________________________________ |
State |
_____ |
Zip |
________________ |
| Telephone |
______________________________ | ||||
| Comments | ________________________________________________________________________ | ||||
| ________________________________________________________________________ | |||||
MAIL YOUR COMPLETED ORDER FORM WITH A CHECK to:
Dinner Through a Straw
P.O. Box 332574
Murfreesboro, TN 37133or FAX YOUR PRINTED ORDER to: 615-494-5329
or CALL US TOLL-FREE to place your order: 1-800-842-3841
E-mail: dinnerthroughastraw@yahoo.com
