KohlQuest ArtSpeak :: Mail Order Form
PLEASE PRINT YOUR RESPONSES
Name of Non-Profit Organization (if applicable] _________________________________________
Non-Profit Organization ID NUMBER [if applicable] ______________________________________
First and Last Names _____________________________________________________________
Street Address _______________________________________________________
City, State, Zip Code, Country ______________________________________________________
Email Address (for order confirmation) ______________________________________________
Daytime Phone (Area Code first) _______________________________________________
Shipping Address [ ] Check here if same as above
Street Address _________________________________________________________
City, State, Zip Code, Country ____________________________________________________
Credit /Debit Card Number Visa _____________________________________________
Discover Card ______________________________________
3-digit security code after your card number found on the back of your card ______________
Expiration Date ______________
Credit Card Owner's Authorization Signature __________________________________________
New Beginning Poster
Hole in the Garden Wall book
For delivery in NC add 6-1/2% sales tax
Add shipping and handling charges (see chart below)
Alaska and Hawaii orders add $10.50
FINAL ORDER TOTAL
SHIPPING & HANDLING CHARGES
$ 0.01 -- $14.99 $ 4.00
15.00 -- 49.99 6.00
50.00 -- 99.99 9.00
100.00 -- 199.99 14.00
200.00 -- 299.99 18.00
$300 purchase and above: call for shipping
1. Print out this order form. If you don't have a printer, just write all pertinent order information on a plain sheet of paper and mail or fax it with your payment.
2. Fill in all lines. Be sure all information you provided is accurate.
3. Be sure to include the correct shipping and handling information before entering your final order total.
4. If you are paying by credit card, please be sure you have submitted the correct card number and expiration date and signed your name on the CREDIT CARD OWNER AUTHORIZATION SIGNATURE line.
5. If you are mailing in your order, please include a check or U.S. Postal money order made payable to KohlQuest.
6 .Mail your completed order form with payment to KohlQuest , 3271 Polk County Line Road, Rutherfordton, NC 28139
Thank you for your order!
CLICK HERE to return to Order Information page.
CLICK HERE to return to KQ ArtSpeak's home page.
All rights reserved © 2010-2018 KohlQuest, Rutherfordton, NC