| Email: info@larascrafts.com Website: www.larascrafts.com Phone: (800) 232-5272 FAX: (864) 427-7904 541 Buffalo West Springs Hwy. Union, SC 29379 |
Internet
Order Form Print, then Fax or Mail To print, right click in this window, then click print and select page 1 to print. For best print quality, set margins to 1/2" on all sides. Your browser must be capable of reading tables, either IE 4.0, Netscape Navigator 3.0 or later versions. |
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CUSTOMER INFORMATION |
PAYMENT INFORMATION |
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| Company Name: | Check or Money Order |
Net 30 Days (Pre-approved only) |
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| Name: | ||||
| Mailing Address: |  |
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| Shipping Address: | ||||
| City: | State: | Credit Card Account Number: |
Security Number:
(Back of your card - last 3 numbers on signature line) |
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| Country: | Zip: | |||
| Phone: | Signature: | Expiration Date: | ||
| Repeat Order Lara's Acct. No. |
First Order | |||
| ORDER INFORMATION | ||||||
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| Stock # | Total Units | Item Description | Unit Price | Extended Price | ||
| Dollars | Cents |
Dollars |
Cents |
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| Total List Price Minimum Order $10.00 |
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| Less Discount | ||||||
| Sub-Total | ||||||
| Orders under $30 add $6 for Shipping |
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For your privacy/security, Lara's Crafts does not sell or share our customer's postal or email addresses. |
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| SC Residents Add
5% Tax
Or Signed Tax Card on File |
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| Final Total US FUNDS ONLY |
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