|
Please
Send Check or Money Order |
Voodoo Authentica™
|
| -- Qty-- | --Item Number-- | -------------------Description -------------------- | ----Each---- | ---Total--- |
|---|---|---|---|---|
|
Merchandise Total U.S. Funds |
||||
|
-LA- Residents Add 9.0% Sales Tax |
||||
|
Shipping & Handling |
|
|||
|
Total Amount U.S. Funds |
||||
--Billing Info: Your Name & Address Here
|
Name: |
||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
|
Address: |Apt.| |
||||||||||||||||||||||
|
City: |State| |Zip.| |
||||||||||||||||||||||
|
E-Mail: | Refering Site| |
||||||||||||||||||||||
|
Payment (please check): ____Check
____Money Order |
|
|||||||||||||||||||||
--Ship To: Name & Address Here ( If Different From Billing Info)
|
Name: |
|---|
|
Address: |city| |state| |zip| |
|
Enclosed Gift Card To Read: |
|
Merchandise Total |
Shipping Charge |
|
$00.00 - $15.00 |
$5.00 |
| $15.01 - $50.00 | $7.50 |
|
$50.01 - $75.00 |
$10.00 |
| $75.01 - $115.00 | $13.50 |
| $115.01 - $150.00 | $15.00 |
|
$150.01 - $200.00 |
$17.50 |
*Any orders over $200.00 may require additional shipping fees. We will contact you if it is necessary to charge additional fees
| Please
feel free to print the above order form. Please send a separate Order
Form for each additional shipping address. If you do not have a printer,
feel free to use a piece of lined paper and write down the information
above and send it to the address below. Any question please feel
to Email us. Thank You for shopping with Voodoo Authentica.
Voodoo Authentica
™
|
|---|
HOME
|| STORE || CONVENTION
SERVICES & SPECIAL EVENTS PLANNING
ABOUT VOODOO || CUSTOMER
COMMENTS || PHOTO GALLERY || ORDERING
INFO || SEARCH