TanZyr FAX or Mail Order Form
TanZyr * P.O. Box 4275 * Winter Park, Florida 32793
Phone: (407) 830-7660 * FAX: (702) 974-8474 / email: tanzyr@aol.com
Date: ______________________ Name:
__________________________________________________________
Address: _________________________________________________________ Apt.: ______________________
City:__________________________________________ State:______________ Zip Code:___________________
Tele:_(_______)_________________________________E-mail:_________________________________________
Credit Card Info
Please Circle One: Mastercard / Visa
Name as it Appears On Card: ______________________________________________________________________
CC Number: ____________-_____________-______________-_____________ Exp. Date: _________/__________
Authorizing Signature:__________________________________________________________________________
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ITEM #
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DESCRIPTION |
QTY |
PRICE |
TOTAL |
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Subtotal:
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S&H (FREE*):
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FL Residents must add 7% Sales Tax:
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TOTAL:
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US - Insured Shipping
Deliv. Conf. Handling
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International Shipping-Insured Airmail-FREE!
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FREE S/H/I on standard orders!
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*Add $15 for Express Mail
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Money Orders and checks must be in U.S. Currency
drawn on a U.S. bank.
** Questions? Please email tanzyr@aol.com
**
THANKS SO MUCH FOR YOUR ORDER!