AAA Coin & JewelryOrder Form
Please print this form out and use it when browsing our web site. |
Bill To |
Ship To: (if different than 'Bill To:') |
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Name | Name | ||
Address | Address | ||
City | City | ||
State | Zip | State | Zip |
Area Code/Phone | Area Code/Phone |
Quantity | Item Number | Description | Price Each | Total | |
Subtotal |
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FL State residents add appropriate sales tax |
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Shipping / Handling |
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TOTAL |
PAYMENT |
Thanks for your order! |
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Please choose the type of payment | ||
*Check or Money Order | Shipping Backordered
items require a seperate shipping charge. |
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Visa | ||
Master Card | ||
Card Number | ||
Exp. Date | ||
Signature |
*Personal Checks, merchandise will be shipped when check clears bank. 10 Day exchange policy, must be new!, 15% restocking service charge/fee on all returns, Shipping Charges are non-refundable!, Minimum order $25.00, plus shipping, Prices do not include shipping. Visa & Mastercard accepted. Prices subject to change without notice, We reserve the right to limit quantities, all rights reserved, Not responsible for typographical errors |