| Eastern Trading Inc. Rockville, Maryland | Please Print, Fill out, and Fax To (301)330-0984 | ||||||||
| Order Form | |||||||||
| Sold / Ship To | |||||||||
| Federal Tax ID: | Page _____ of _____ | ||||||||
| Company Name | Date | ||||||||
| Contact Person | Tel | ||||||||
| Shipping Address | Fax | ||||||||
| (For order receipt confirmation.) | |||||||||
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| International customer must agree to pay duties plus 6% surcharge if the shipping carrier has difficulties to collect duties from you and charge us after delivery. See FAQ for details. | SubTotal | ||||||||
| Payment Method: ____ Visa; ____ MasterCard (Check one) | Minimum
Order $30.00. Availability subject to change. 10% shipping fee will be added to a transaction. Order over $100 shipping is FREE (Ground shipping method, other shipping method requires additional charge). |
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| Card Number | 3-digit V-Code on back of card |
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| Card Holder Name | Exp. / | / | |||||||
| Signature X | |||||||||
| Billing Address | |||||||||
| (Required only if different from the Shipping Address provided above.) | |||||||||
| We usually can ship out your order in 1-3 business days. Please choose how you want us to process your order. | |||||||||
| Standard: ___ Don't call if the order is complete; However, please call if the order can't be completed as required. | |||||||||
| Expedite: ___ Don't call; ship out whatever in stock A.S.A.P.; Confirm: ___ Always call to confirm availability and total. | |||||||||
| Shipped via: ___UPS,___USPS, or ___FedEx; Delivery: 1. ___Next Day; 2. ___2nd Day; 3. ___3rd Day; 4. ___Ground | |||||||||