Lucy Collector - I Love Lucy Memorabilia - Order Form

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MERCHANDISE MAIL/FAX ORDER FORM

Instructions: print this form, complete the form then mail it to the following address:
sales@lucycollector.com

Billing Information

Order Date: ________________

Name: _____________________________

Address1:___________________________

Address:2___________________________

City: _______________________________

State: ____ Zip Code: _____________

Contact Information
(In case we need to contact you regarding your order)

Home Telephone:(_____)______-_______

Work Telephone:(_____)______-_______

Email Address:_____________________ (e.g. yourname@aol.com)

**Order Information**
Quantity	Item#	Size/Color	Description	Price Each	Total






			Subtotal
			Sales Tax - California Residents add 7.75%
			Shipping
			Grand Total

**Items are limited to stock on hand**

Payment Method (s): Check Money Order Cashier’s Check

Visa MasterCard

Visa Number: ________________________ Expiration Date: _________

MasterCard Number: ________________________ Expiration Date: _________

Please make all checks, money orders and cashier’s checks payable to: Cari Purkey

THANK YOU FOR YOUR ORDER!

Shipping Charges
(via priority mail):
Up to $24.99...... $3.95 $25-$49.99......... $4.95 $50-$79.99......... $5.95 $80-$99.99......... $7.50 $100 and more....$8.50

FedEx shipping is available for an additional fee, contact us for rates

International shipping is based on actual cost of shipping + insurance. contact us for rates

Shipping Instructions (if different than above billing address)

Order Date: ________________

Name _____________________________

Address: ______________________________________________

City: _______________________________State:____ Zip Code: ________

Personal Checks: may have a delay, we wait until they clear before we ship your order.
Returned Check Charge: $25.00
Shipping: Most items that are in stock are shipped within 48 hours via Priority Mail
Return Policy: If you are not satisfied with your order for any reason, return it to us in order condition within 30 days for a full refund of the purchase price of the product (shipping and handling charges are not refundable).