Scented Rocks By Ginger Mail Order Form
Please print out, fill in and fax or mail to:
Scented Rocks By Ginger - Mission Texas, 78572
Ordered By
Name: ___________________________________ Address: ___________________________________
City: _________________________ State: __________ Zip Code: __________
Telephone: ____________________ Fax: ____________________ E-Mail: ____________________
Order Your Products Here
| Qty. | Item Number & Description | Color/Size/Misc | Price Ea. | Total |
| Subtotal | ||||
| Texas Residents Add 8.25% Sales Tax | ||||
| U.S.A. Shipping & Handling (Priority Mail $9.60) - up to TWO bags of rocks We ship priority mail w/delivery confirmation Bulk orders will be quoted before they are shipped to insure the best price and the highest quality of merchandise. If you have any questions please feel free to call us during our regular hours of business. |
| |||
| International Shipping & Handling (email for prices) | ||||
| Grand Total | ||||
Credit Card Information
Check One: Visa _____ MasterCard _____
CCV Code _____
The CCV is a 3 or 4 digit code embossed or imprinted on the reverse side of Visa, MasterCard and Discover cards.
Credit Card Account Number: ________________________________________________
Name as it appears on card: __________________________________________________
Expiration date: ______________ Signature: ________________________________________