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SendSoup.com Online Product Order Form
Entries marked with an fcrequired.gif (934 bytes) are required to process the order.

Item # Qty Item Name Price
Each		 Price
Total
Subtotal
Shipping, Handing and Insurance
(Charge for surface shipment in U.S.)
$ 00.00 - 20.00
$ 20.01 - 40.00
$ 40.01 - 60.00
$ 60.01 - 80.00
$ 80.01 - 100.00
$ 100.01 - 150.00
$ 150.01 - 250.00
$ 250.01 and over		 $  7.95
$  8.95
$  9.95
$10.95
$11.95
$12.95
$16.95
$24.95

Alaska or Hawaii $10.00 extra

 Shipping
3 Day $6.00 or
Next Day Delivery $20.00 extra		 Misc
THANK YOU FOR YOUR ORDER Total Due

PAYMENT INFORMATION: CREDIT CARDS

Credit Card Type

Card Number

Expiration Date

Cardholder Name

I prefer to pay by Check or Money Order - (Sorry, NO COD's)
Sent From:
Name
Company Name
Address
City (full name)
State/Province
Zip/Postal Code
Country
Phone:
Fax:
Email:
Deliver this order to:
Name
Address
City (full name)
State/Province
Zip/Postal Code
Country
Phone:
Delivery Instructions: Please sign the gift card the way you want your name to appear. If you don't want your name on the card, please check here!
Gift Card Message: 
Special Instructions: 
Delivery Date: (mm/dd/yy)
Occasion:
Account Number
Please enter your SendOnline.com Account Number.
Your phone number is your SendOnline.com Account Number unless you were previously assigned a different number.
Include your area code and use only the numbers (ex: 5551234567).
 
  
 

 

SendOnline.com
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