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PAYMENT & CREDIT CARD SUBMISSION FORM You may fax (credit cards only) this form to:
973-209-6225 or mail
(all forms of payment) it to: DO NOT EMAIL THIS INFORMATION, ONLY FAXES OR MAIL
WILL BE ACCEPTED! TUSKS (please circle the appropriate size) Packing, Shipping & Insurance $400.00 (continental US, please contact us for other locations) 7% New Jersey Sales Tax $______________ Your Total Charges (including shipping & sales tax) [This will be verified]: $________________ 25% will be charged on order, the remaining 75% will be charged on shipment. NEW JERSEY RESIDENTS WILL BE CHARGED 7% SALES TAX Type of Credit Card: ___ Visa ___ MasterCard ___ Check ___ Money Order Credit Card Number: ________________________ Expiration: ________ CSV: __________ Name on Card: ______________________________________________________________ Billing Address: ______________________________________ Apt: ___________________ City: ___________________________________ State: ________ Zip: ________________ Daytime Phone: ________________________ Evening Phone: _________________________ Shipping Name: ______________________________________________________________ Shipping Company: ___________________________________________________________ Shipping Address: ___________________________________ Apt: ____________________ City: ____________________________________ State: _______ Zip: ________________ PLEASE SIGN BELOW I authorize charges to be made to my credit card. Signature: ___________________________________________________ YOUR CREDIT CARD WILL BE CHARGED BY: TOO SOFT, LLC If you have any questions, please email: tusks@warwick.net DO NOT EMAIL THIS PAGE! |