Wild Visions, Inc. Order Form
BILLING ADDRESS: SHIP TO: (IF DIFFERENT FROM BILLING)
Name ________________________________ | Name ________________________________
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Address _____________________________ | Address _____________________________
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Address _____________________________ | Address _____________________________
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City ________________________________ | City ________________________________
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State ____________ ZIP______________ | State ____________ ZIP______________
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Country _____________________________ | Country _____________________________
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Daytime Telephone (_____) ___________ | Daytime Telephone (_____) ___________
Quantity Item# Description Price Total
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Merchandise Total | |
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Shipping/Handling (per US or Canada shipping address) | $7.50|
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Sub Total | |
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NY Sales Tax on orders shipped to a NY State address | |
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Grand Total | |
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NY State Only Sales Tax- | | | |
County being shipped to: |________________________| Tax % |_____%|
MasterCard, VISA, Discover | | | | |
American Express |________|________|________|________|
| |
Expiration Date |________| Signature __________________________________
Please Make Checks Payable to: Wild Visions, Inc.
Send to: 6990 State Route 8
Brant Lake, NY 12815-2229
Office Use Only - Shipped __________ Approval # ______________ Date__________
PLACING YOUR ORDER
- Call (518) 494-3072 to order by credit card, or for questions (Mon / Fri from 9 AM to 5 PM Eastern Time).
- Or, FAX this form to (518) 494-3072, or mail this order form with credit card information, or a check
or money order (US Funds) to:
Wild Visions, Inc.
6990 State Route 8
Brant Lake, NY 12815-2229
DELIVERY
We ship most items via Priority Mail. If you prefer to have an item
shipped by another method please contact us for more information. Please
remember to add shipping and handling for each shipping address (if more than one).
OUR GUARANTEE
If any item you order doesn't meet your expectations, it may be returned
within 15 days for an exchange or refund.
(Please note: shipping and handling charges are not refundable.)