ORDER FORM 

FEIX FAMILY BASKETS

321 East Somers St., Eaton, OH 45320-1845

(937) 456-6067 MONDAY-FRIDAY 9A.M.-5.P.M.

EMAIL:

wpe1.jpg (2137 bytes)

 

PLEASE DO NOT SEND CHECK WITH MAIL ORDER

We proudly accept these credit cards:

Credit_card_logos.jpg (94805 bytes)

 

   

 

If you would like to download the order form to send it via "Snail Mail",

please do so right here:

***ORDER FORM***

If you don't have Adobe Reader get it here:

get_adobe_reader.gif (1953 bytes)

 

      

              

PLEASE ALLOW 2-3 WEEKS FOR DELIVERY

PURCHASER INFORMATION:

NAME:

COMPANY NAME:

ADDRESS:

APT./SUITE #:
CITY:
STATE:
U.S. OR CANADA:
ZIP CODE (PLUS 4)
AREA CODE/PHONE #:
FAX NUMBER:
E-MAIL ADDRESS:
OHIO COUNTY OF RESIDENCE:
TAX RESALE # AND STATE OF ISSUE:
RESIDENTIAL OR COMMERCIAL ADDRESS?
CREDIT CARD INFORMATION:
Cardholder Name (As shown on card):
Credit Card Type:
Card Number:
Last 3 Numbers on Back of Card:
Expiration Date:
SHIP TO ADDRESS (IF DIFFERENT FROM ABOVE):
NAME:
ADDRESS:
APT./SUITE #:
CITY:
STATE:
U.S. OR CANADA:
ZIP CODE (PLUS 4):
AREA CODE/PHONE #:
QUANTITY:

DESCRIPTION OF ITEM:
TOTAL WILL BE CALCULATED BY US, WHICH WILL INCLUDE THE ACTUAL SHIPPING AND HANDLING CHARGES AND ANY APPLICABLE SALES TAX (OHIO RESIDENTS)

 

FEIX FAMILY BASKETS

321 East Somers St., Eaton, OH 45320-1845

(937) 456-6067 MONDAY-FRIDAY 9A.M.-5.P.M.

EMAIL:

   wpe2.jpg (2137 bytes)

PLEASE DO NOT SEND CHECK WITH MAIL ORDER

 

 

 

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