Sincerely Yours dkh
Tiesbecause Order Form


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Please complete this form and:
1) Mail with your check or credit card information to:
     Sincerely Yours dkh
     PO Box 1356
     Marlton, NJ 08053
     OR:
2) Fax with your credit card information: (856) 985-0293
     OR:
3) Call in your credit card order during normal business hours: (856) 985-7845
Tie Name
Regular or Long
Quantity
Unit Price
Total
1.    
$24.95
  
2.    
$24.95
  
3.    
$24.95
  
4.    
$24.95
  
Merchandise Total
       
Shipping Charge *
      
If you need more room, please attach a separate sheet of paper.
 TOTAL       

* Shipping Charge

Alaska, Hawaii, and International orders, call (856) 985-7845 or email: sales@tiesbecause.com for applicable shipping charges.
Up to $50
$2.95
$51 - $100
$4.95
Above $100
FREE

Your Name and Address:

Name:____________________________________  Email:_______________________

Address:_______________________________________________________________

City/State/Zip:___________________________________________________________

Home Phone: _________________ Business Phone: _________________   Fax: _________________

Shipping Address (if different from above):

Name:____________________________________  

Address:_______________________________________________________________

City/State/Zip:___________________________________________________________

Billing Information:

I am paying by check ____ (US funds only). Please make checks payable to: Sincerely Yours dkh

Please bill my credit card: ____Visa ____MasterCard

Name on Card: __________________________________

Card Number:__________________________ Expiration Date:______________

Signature:___________________________________ Amount : $____________