 |
MAIL ORDER FORM - ACTION SALE #4
(Prices good through December 31, 2001)
Print out and mail to: Café Mart • 1629 West 34th Street • Houston, TX 77018
|
|
SOLD TO
|
Customer # |
| Name |
|
Company
(if applicable) |
|
Street Address
(incl. apt. #) |
|
| State/Zip |
|
| Daytime Phone |
|
| Evening Phone |
|
|
|
SHIP TO
|
(If different than SOLD TO) |
|
Name
|
|
|
Company
(if applicable)
|
|
|
Street Address
(incl. apt. #)
|
|
|
State/Zip
|
|
|
Daytime Phone
|
|
|
Evening Phone
|
|
|
|
|
|
QTY
|
ITEM #
|
ITEM DESCRIPTION
|
UNIT PRICE
|
TOTAL
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
FREIGHT CHARGES:
$5.00 per order to 2 pounds and
$1.85 plus actual UPS ground over 2 lbs.
Air Express billed at carrier rate plus $3.00 |
Merchandise Total
|
|
|
Texas Residents:
Add 8.25% Sales Tax
|
|
|
Shipping & Handling
|
|
|
TOTAL
|
|
|
|
