dom of june2014 · ship to: (if address is different than "ordered by") name address city...
TRANSCRIPT
SHIP TO: (If address is different than "ORDERED BY")
Name
Address
City
State Zip Code
Payment enclosed (check or money order)
Please include complete charge card number and expiration date.
www.sheplers.com
QTY. COLORNO. EACH TOTAL
PRICE OF ITEMSSIZE OR LENGTH
SIZE SLEEVE WAIST INSEAM
PAGENO.
MONOGRAM(Initials and
Thread Color)OR HEEL
ITEM NUMBER DESCRIPTION
PLEASE SPECIFY COLOR & SIZE
SUB-TOTAL
WHEN SHIPPING TO THESE STATES ADD SALES TAX:AZ, CO, FL, KS, MO, NE, NV, OK, TX
EXPEDITED DELIVERY SERVICE CHARGE:Priority Mail - $7.50
Continental U.S., 3-4 business days - $9Continental U.S., 2 business days - $20
Non-Contiguous U.S.**, 3-4 business days - $16Non-Contiguous U.S.**, 2 business days - $26
**Alaska, Hawaii, Puerto Rico, Virgin Islands & Guam
TOTAL AMOUNT ENCLOSED
Please check your METHOD OF PAYMENT
Expiration Date: Month & Year
Signature
Visa, MC, Discover – 3 digit value from theback of card or American Express – 4 digitvalue from the front of card.
BE SURE TO ADDSHIPPING & HANDLING CHARGE:
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May we have your daytime phone number?
DAYTIME PHONE ( )
If you include your e-mail address,we will e-mail you the status of your order.
E-MAIL ADDRESS
We Are Open 24 Hours A Day--7 Days A Week
To Order:Call: 1-888-835-4004 Fax: 1-800-900-SHEP (7437) Online: www.sheplers.com
For Customer Service:Call: 1-800-833-7007Fax: 1-800-900-SHEP (7437)E-mail: [email protected]
MAIL TO: 6501 W. KELLOGGP.O. BOX 12445WICHITA, KS 67277-2445
STANDARD SHIPPING & HANDLING
Call1-800-833-7007
for shipping rates
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