BATH PLANTATION

To place an order, please print this page and mail or fax your order.
MAIL to: P.O. Box 5571, Round Rock, TX 78664
FAX at any time:  1-512-535-0434  Please type or print clearly.

Sold To: (If paying by by credit card, note your name and address as it appears on file with your credit card company.)
Name: ____________________________________
Address:___________________________________
__________________________________________
City:______________________________________
State: ________________  Zip: _______________ 		Ship To: Please fill in information below if items are to be shipped to an address other than “Sold To” address:
Name: ____________________________________
Address:___________________________________
__________________________________________
Gift Card message:___________________________
___________________________________________
___________________________________________
 

ITEMS ORDERED:

Qty         Item  Price Each Total Price
       
       
       
       
       
       

METHOD OF PAYMENT (no Cash or Postage Stamps)
Reminder: Make certain that your billing name and address above are the same as the name and address on file with your credit card company.
oAmerican Express oMastercard oVisa oDiscover oDiners Club
Credit Card Number 
Expiration Date 
Signature 
Daytime Phone (          )               -       p;               
Nighttime Phone(          )               -       p;               
 
Merchandise Subtotal  
California Sales Tax (See Box "A" below)  
Standard Shipping & Handling
$4.95
Additional Shipping Charges
for Priority Service
(See Box "B")		  
TOTAL
 
A
CALIFORNIA SALES TAX INFORMATION:
We are required by law to collect sales tax of 7.75% on shipments to California. Please add the appropriate sales tax for delivery.


B
Additional Shipping Charges for
 Priority Service 
(Within the continental U.S.only): 
r 3rd Business Day
 (Add $7.50, Orders over $65 Add $15.50) 
 r 2nd Business Day
 (Add $15.00, Orders over $65 Add $23.00)