Mail Order Form - Money Orders and Cashiers Checks Only

Mail Order Form ~ TwistsandCurls.com
(Print This Form Before Using)
Money Orders and Cashier's Checks Only - NO PERSONAL CHECKS PLEASE

DATE: __________________

BILLING ADDRESS:	SHIPPING ADDRESS:
Name:	Name:
Address:	Address:
City/State/Zip:	City/State/Zip:
Phone #:	Phone #:
E-Mail:	[ ] Check here if same as billing address

Qty	Description	Ref	Price	Total






Sub-Total:
GRAND TOTAL:

Special Instructions:

Make Payable To:

Mark Gillo
255 E. Liana Dr.
Chino Valley AZ 86323
(928) 710-4182
Email Us

Custom Lettering:

For 'custom' lettering, a maximum of 10 letters and numbers may be added to any sign for an additional $30.00 per sign. If you require more lettering, e-Mail us for a quote or call 928-710-4182 (cell) to discuss your requirements. Sketches or drawings can be sent by an e-mail attachment.

Credit Card Payments:

We can process credit card payments by Phone, Fax or Mail including Visa, Mastercard, American Express or Discover. Money orders or cashier's checks are gladly accepted, too.

We respect your privacy!
We will not share your personal information with anyone.

Please visit us again at www.twistsandcurls.com