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| FAX ORDER FORM PLEASE PRINT OUT FORM, COMPLETE IN TOTAL AND FAX IT TO OUR SECURE FAX LINE - 435-649-4024 We do not sell or give your information to anyone. |
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*ORDER DATE (AND TIME YOU FAXED ORDER): *YOUR NAME (Name as it appears on your credit card): *BILLING ADDRESS (Address where you receive your credit card bills): *STREET: *CITY, STATE (2 letters) AND ZIP CODE: *SHIPPING ADDRESS (If different than billing address): *STREET: *CITY, STATE (2 letters) AND ZIP CODE: *EMAIL ADDRESS: *DAYTIME PHONE NUMBER: EVENING PHONE NUMBER: *CREDIT CARD TYPE (MASTERCARD, VISA, AMERICAN EXPRESS OR DISCOVER): *CREDIT CARD NUMBER NUMBER: *CREDIT CARD EXPIRATION DATE: *SECURITY CODE (LAST 3 (MC, VISA OR DISCOVER) OR 4 (AMERICAN EXPRESS) DIGITS ON FRONT (AE) OR BACK OF CREDIT CARD): *QUANITY: *DESCRIPTION: *ITEM NUMBER: *PRICE: SHIPPING (WILL BE DETERMINED AND EMAILED TO YOU FOR APPROVAL PRIOR TO SHIPPING): HOW DID YOU FIND RUSTIC SPIRIT? *NECESSARY FIELDS OR YOUR ORDER CANNOT BE PROCESSED. PLEASE DOUBLE CHECK TO MAKE SURE ALL INFO ACCURATE OR YOUR ORDER WILL BE DELAYED. THANK YOU. |
US POSTAL SERVICE MONEY ORDERS ACCEPTED ONLY PLEASE NO PERSONAL CHECKS NO BANK CASHIERS CHECKS NO BANK MONEY ORDERS ACCEPTED |
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MAILING ADDRESS VIA POST OFFICE: RUSTIC SPIRIT PO BOX 680490 PARK CITY, UT 84068 866-649-4799 (CALL MONDAY - FRIDAY 11 AM - 7 PM EST) 435-649-4024 (FAX 24 HOURS) |
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THANK YOU SO MUCH FOR YOUR ORDER OF THE LOVELY FOREST INSPIRED ITEMS. |
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| Copyright © 2006 - 2007 RUSTIC SPIRIT, L.L.C. |
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