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California Cove Designs
FAX FORM
This form is for U.S. customers who do not wish to order online.
Directions:
Print form and enter items ordered, contact/shipping, and billing information.
Fax order to: 501-665-8263. Your order will be processed immediately.
CONTACT & SHIPPING INFORMATION:
Name:__________________________________
Company Name: _________________________________
Tax Number, if applicable (CA only): __________________
Delivery Address: Residential - Commercial
Street Address: __________________________________
City: ___________________________________________
State: ______________________
Zip Code: ___________________
Phone: _____________________
Email: ______________________
The address and zip code must match what is listed with the cardholder's credit card
company. If the above shipping address does not match the cardholder's billing address,
list the BILL TO address below. We cannot proceed with the transaction unless this
information matches.
Bill to Address:(If different than shipping address)__________________________________________________
Fax your order to: 501-665-8263
Shipping cost is calculated once order is packed and weighed. This ensures you are not
overcharged. When order ships, you will receive an e-sales receipt indicating the product
total and cost of shipping.
CREDIT CARD Visa MasterCard Diner's Club
Card Number ________________________________
Name as appears on card _____________________
Expiration Date __________
3 Digit VCode _______
VCode is located on swipe strip. It follows the last 4 digits of card number.
CARDHOLDER SIGNATURE ________________________________________
------------------------------------------------------------------------------------------------------------------------------------
ORDER FORM
Scent Chosen
ITEM DESCRIPTION (if applicable) Qty. PRICE TOTAL
Fax your order to: 501-665-8263 PRODUCT TOTAL ___________
(CA residents will be charged 7.75% sales tax unless Tax ID is given.)
Enter your California Tax ID Number here:______________________
(Shipping cost is calculated once order is packed and weighed. This ensures you are not overcharged in
shipping . You will be charged only for actual shipping, no charges for "handling." When order ships, you
will receive an e-sales receipt indicating the product total and cost of shipping.)
(Small orders are usually shipped Priority Mail. Larger orders are usually shipped UPS Ground. We first
determine the most economical and safe way for your particular order to be delivered. (If you absolutely do
not want us to use a particular delivery service -- i.e., FedEx, US Postal Service, UPS, DHL....please just
say that in Comments below. We fully understand.)
**If you need us to ship faster than UPS Ground, please circle one of the following so that we may figure
your shipping accurately: OVERNIGHT or TWO-DAY or THREE-DAY. If you would like an estimate of
these expedited shipping charges before deciding, please place an X here -->_____ and we will email
you the cost so that you can approve it or change your mind.
Your email address is:________________________________________
PLEASE FEEL FREE TO CONTACT US WITH ANY QUESTIONS:
By Telephone: 714-615-8263
By Email: CaliforniaCove@aol.com
COMMENTS and Special Requests:
Special requests are more than welcome. We strive to customize your order in any way
you desire, to make it the very best that it can be for you.
FAX FORM
This form is for U.S. customers who do not wish to order online.
Directions:
Print form and enter items ordered, contact/shipping, and billing information.
Fax order to: 501-665-8263. Your order will be processed immediately.
CONTACT & SHIPPING INFORMATION:
Name:__________________________________
Company Name: _________________________________
Tax Number, if applicable (CA only): __________________
Delivery Address: Residential - Commercial
Street Address: __________________________________
City: ___________________________________________
State: ______________________
Zip Code: ___________________
Phone: _____________________
Email: ______________________
The address and zip code must match what is listed with the cardholder's credit card
company. If the above shipping address does not match the cardholder's billing address,
list the BILL TO address below. We cannot proceed with the transaction unless this
information matches.
Bill to Address:(If different than shipping address)__________________________________________________
Fax your order to: 501-665-8263
Shipping cost is calculated once order is packed and weighed. This ensures you are not
overcharged. When order ships, you will receive an e-sales receipt indicating the product
total and cost of shipping.
CREDIT CARD Visa MasterCard Diner's Club
Card Number ________________________________
Name as appears on card _____________________
Expiration Date __________
3 Digit VCode _______
VCode is located on swipe strip. It follows the last 4 digits of card number.
CARDHOLDER SIGNATURE ________________________________________
------------------------------------------------------------------------------------------------------------------------------------
ORDER FORM
Scent Chosen
ITEM DESCRIPTION (if applicable) Qty. PRICE TOTAL
Fax your order to: 501-665-8263 PRODUCT TOTAL ___________
(CA residents will be charged 7.75% sales tax unless Tax ID is given.)
Enter your California Tax ID Number here:______________________
(Shipping cost is calculated once order is packed and weighed. This ensures you are not overcharged in
shipping . You will be charged only for actual shipping, no charges for "handling." When order ships, you
will receive an e-sales receipt indicating the product total and cost of shipping.)
(Small orders are usually shipped Priority Mail. Larger orders are usually shipped UPS Ground. We first
determine the most economical and safe way for your particular order to be delivered. (If you absolutely do
not want us to use a particular delivery service -- i.e., FedEx, US Postal Service, UPS, DHL....please just
say that in Comments below. We fully understand.)
**If you need us to ship faster than UPS Ground, please circle one of the following so that we may figure
your shipping accurately: OVERNIGHT or TWO-DAY or THREE-DAY. If you would like an estimate of
these expedited shipping charges before deciding, please place an X here -->_____ and we will email
you the cost so that you can approve it or change your mind.
Your email address is:________________________________________
PLEASE FEEL FREE TO CONTACT US WITH ANY QUESTIONS:
By Telephone: 714-615-8263
By Email: CaliforniaCove@aol.com
COMMENTS and Special Requests:
Special requests are more than welcome. We strive to customize your order in any way
you desire, to make it the very best that it can be for you.
