DECOR TIME PRODUCTS
Clock Parts and Accessories

WHOLESALE MAIL ORDER FORM

Minimum Order $75.00, COD Orders add $9.00 per box
Handling Fee for orders under $75.00 of product is $6.00

Item # Item Description Qty Price Item Total

Order Total..
BILLING INFORMATION SHIPPING ADDRESS
Name

Company Name

Address

City

State

Zip Code

Country

Name

Company Name

Address

City

State

Zip Code

Country


CONTACT INFORMATION
Telephone
E-Mail Address

CREDIT CARD INFORMATION
Select Card Type
Card Holders Name
Account Number and Expiration Date


 

Please be sure the form information is correct and complete

Please Print Out This Form and Mail it to
Decor Time Products
PO Box 277698
Sacramento, Ca 95827-7698

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