Collectibles by Denise Order Form


	Collectibles by Denise

	Tel: 912-961-9170	Email: [email protected]

Ordering
A special note about privacy. The information you provide below is solely for the purpose of fulfilling your order and very infrequently informing you via e-mail of additions to our web site that may be of interest to you. We will never disclose your information to others. If you do not want any e-mail, except that related to this order, please so indicate in the comments.

Please feel free to order by telephone or, preferably, electronically by supplying the information below. If ordering by telephone, the number is 912-961-9170. If you would like further information please feel free to email us at [email protected]

If you want to check an item number, click here to go back to the Catalog then click your browser's Back button to return to this page.
Items Ordered

Line	Item Number	Quantity	Special Instructions

Comments/Special Shipping Instructions:

For deliveries to Georgia, 6% sales tax will be added to the order total.
Shipping charges will be added to all orders.

Customer Contact Information

Your name:
Your Email Address:
Home Phone:
Daytime Phone: (optional)

Customer BILL TO Information

Full Name:
Street Address: (not PO Box)
City, State/Province:
Zip/Postal Code:
Country:

Bypass the next section if the SHIP TO and BILL TO addresses are the same.
Customer SHIP TO Information

Full Name:
Company:
Street Address: (not PO Box)
City, State/Province:
Zip/Postal Code:
Country:

In order to help our future customers we would appreciate your time to answer all or any of
the following 3 questions. Please feel no obligation to do so, however.
What do you most like about this web site?

What improvements should we make?

How did you learn of us? Please specify any Search Engine if known.

Thank you for purchasing from Collectibles by Denise!

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