ORDER FORM: SUBMIT IT * CALL * FAX or COPY AND MAIL IT IN
"FREE SHIPPING FOR GROUND DELIVERY WITHIN THE U.S."

VALUE BEST MERCHANDISE * 2304 ELEUTHERA PL. * SEFFNER, FL 33584
Bronze art sculptures for the home, office or as a gift that lasts a lifetime
CALL IN ORDERS TO 813-684-3894 or 1-800-847-6888 - Between 08:00: A.M. - 8:00 P.M.
FAX ORDERS TO - 813-689-0914 or SUBMIT ORDERS ELECTRONICALLY - 24 hrs x 7
Secure order form processed thru our website hosting service at http://www.swiftsite.com
Customer credit card information is not stored on our computers and email addresses are not given out or sold

PURCHASE INVOICE AND TRANSACTION RECEIPT WILL BE SENT BY POSTAL MAIL

PAYMENT INFORMATION:

BY
: BANK CHECK MASTER CARD VISA AMERICAN EXPRESS
CARD NUMBER EXPIRATION DATE
NAME:
ADDRESS
CITY

STATE
ZIP
PHONE NO.
E-MAIL ADDRESS

ORDER INFORMATION:
ITEM NUMBERS:
ITEM NO: SIZE: QUANTITY: PRICE:

ITEM NO: SIZE: QUANTITY: PRICE:

ITEM NO: SIZE: QUANITITY: PRICE:

ITEM NO: SIZE: QUANTITY: PRICE:

TOTAL PURCHASE
SALES TAX ( FLORIDA RESIDENCE ) - 7.0%
SHIPPING CHARGES - None for normal ground delivery within the USA - We will get your approval on charges for special, air or out of country delivery before proceeding with the order.
TOTAL PAYMENT - U.S. FUNDS

SHIPPING ADDRESS IF DIFFERENT FROM ABOVE:
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STATE OR COUNTRY
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