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Order Form Page
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Please Print and Mail your order Form to:
Indian Arts & Crafts Trading Post
P.O. Box 449
Charenton, La. 70523
You may fax, or phone your order in
Toll Free Phone #: 1-877-221-1102
Fax #: 337-923-2321
If there is no answer please leave a message and someone will return your call. Thanks
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Order Form
Date Ordered: ______________________
Name:___________________________________________
Address: _______________________________________________________________
______________________________________________________________
City:__________________________________________ State:___________________
PHONE#:______________________________________
Payment By:
Check: _____ Money Order: ____ COD: ____
Credit Card:____ Card Type: ________________________
Card Number: _____________________________________
Expiration Date: ____________________________________
Signature Required Wih All Credit Card Orders:
_________________________________________________
Will you accept substitutions? ________________________
Will you accept backorders? _________________________
Payment Policy:
Payment is expected when Basket is Delivered To Customer.
Item No. Description Qty. Unit Cost Total Amount
_______ _____________________ ____ _________ ____________
_______ _____________________ ____ _________ ____________
_______ _____________________ ____ _________ ____________
_______ _____________________ ____ _________ ____________
_______ _____________________ ____ _________ ____________
______________________________________________________
Ordered By:___________________________________
Subtotal: __________________
Insurance Rates:
Shipping Charges: _______$4.50___
100.00 to 200.00....$2.75 201.00 to 300.00....$3.70
Insurance :__________________
301.00 to 400.00....$4.65 401.00 to 500.00....$5.60
Total Due:__________________
Add $0.95 for each $100 or fraction thereof over $500,
up to a maximum of $5000 for coverage desired.
Special Instructions:
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
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Thank You For Your Order!!
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