Ashland Gifts

www.ashlandgifts.com

77817 Highway 9

Ashland, AL 36251-5857

Phone: 256-354-2358 Fax: 425-920-7020

Mail/Fax Order Form

Name: ____________________________________________

Address: __________________________________________

City: ___________________________________________

State: ____________________ Zip Code: _______________

Phone: ___________________________________________

Name: ____________________________________________

Address: __________________________________________

City: _____________________________________________

State: ______________________ Zip Code: _____________

Phone: ___________________________________________

Order Form Instructions:

1. Print clearly and accurately.

2. Please double check your order and total.

3. Mail your order to the appropriate address located on this form.

4. Or, Fax your order to the Fax number located on this form.

QTY	ITEM #	DESCRIPTION		UNIT PRICE	TOTAL










Method of Payment: ______ Personal Check _______ Certified Check ______ Money Order _______ Credit Card Make checks and money orders payable to: Ashland Gifts			SUBTOTAL
			SALES TAX
			SHIPPING & HANDLING
			rUSH oRDERS Add 50% (1-2 Business Days)
			TOTAL

Credit Card type: ____ Visa ___ MasterCard ___ Discover

____ American Express

Credit Card #: ___________________________________

Expiration Date (MM/YY): ___________ CVC ________

Signature: _______________________________________

Print and mail this form with your payment to:

Ashland Gifts

Attn: Order Department

77817 Highway 9

Ashland, AL 36251-5857

Or, Print and fax this form to: 425-920-7020