Page 2 - Afrocentric Expressions-2020 Retail Catalog

Easy Order Form

Easy (Fax in or Mail in) Order Form
Save time, save money and prevent errors by using this easy order form. We also accept PayPal and Cash App as method for payments.
BILL TO: (For credit card orders, please list the address that the credit card
bill should be sent to.) SHIP TO:
Name: __________________________________________________________ (Fill out only if different than bill to.)
Address: ________________________________________________________ Name: _____________________________________________________
City: ___________________________________________________________ Address: ___________________________________________________
State:____________ Zip: ____________ City: ______________________________________________________
Daytime Phone #: (_________) _______________ - ____________________ State: ___________ Zip: ____________________
Evening Phone #: (_________) _______________ - ____________________ Daytime Phone #: (________) _____________ - ___________________
E-mail address:___________________________________________________ Evening Phone #: (________) _____________ - ___________________
Fax No. (________)________________________________________________
Item Number Qty. Item Name or Description Size Color Alt. Color Unit Price Total Price
Choice
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Want more? Just write the same information on a separate sheet of paper.

Payment Method:
Check/ Money Order Credit Card SHIPPING CHARGES Merchandise Total
Shipping and Handling
Type of Credit Card ____________ (U.S. only - call for Ineternational Shipping & Handling
For Orders Totaling
Up to $50.00 .................... $12.95 Shipping
$50. - $79.99 .................... $16.55 (see Box at left)
Card Account # Exp. $80. - $99.99 .................... $21.25
Date $100. - $149.99 ................. $23.75
$150. - $249.99 . ................. $27.35
$250. - $399.99 ................. $35.35
Name ______________________________ $400. - $499.99
$150. - $249.99 ................. $42.55
over $400.............. $49.75 or more... $500
Signature______________________________
Total

Comments:

charges that are too high.
Check the appropriate box in event we happen to be out of stock on an item:
Afrocentric Expressions Backorders are usually filled
Local: (769) 218-2364 Please Backorder within 3 weeks, however
Toll-Free: (855) 688-6059 Ship Order Complete unexpected delays are
Email: support@afrocentricexpressions.com
Ship in stock item(s) and cancel out of common with shipments
Thank You For Shopping With Us! stock item(s) from overseas.