HIC-CUP
Instructions to order by mail:
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PRINT THIS BLANK FORM.
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Please write clearly or type in all required information on form being very careful to provide a correct shipping address including zip code.
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Provide a working daytime phone number so we can contact you if the shipper has a problem with delivery or the address.
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Provide an E-Mail address if you would like to receive a confirming email and delivery information. (NOTE: No email or other customer information is ever disclosed and it always remains private.)
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Enclose a Check, Cashiers's Check, or Money Order for the exact amount. Call if you have any questions about the total due. (Note: Money Orders and Cashiers's Checks from US Banks, Western Union, or US Postal Service clear instantly. Personal Checks take up to 3 days.)
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Mail this completed page and check, cashier's check, or money order to: The Hic-Cup Ltd P.O. Box 342 Doylestown, PA 18901
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MAIL-IN ORDER FORM Purchaser's Name:_______________________________________ Address:________________________________________________ _______________________________________________________ City/Town:_____________ State:__________ Country:_________ Zip Code:________________ EMAIL:_______________________ Daytime Contact Telephone #:______________________________ Secondary Contact #:_____________________________________ SHIPPING ADDRESS [ ] check if same address as above Recipient's Name:__________________________________________ Address:_________________________________________________ ________________________________________________________ City/Town:__________________ State:________ Zip Code:________________ EMAIL:_______________________ ORDER INFORMATION: (check one) [ ] One (1) Hic-Cup w/ Free Shipping $16.97 [ ] Two (2) Hic-Cups Special Discount w/ Free Shipping $30.00 [ ] Three (3) Hic-Cups Best Value Discount w/ Free Shipping $45.00 [ ] Special Multiple Order Pricing (call) $_________ Type of Payment Enclosed: [ ] Check#_____________ Amount $_________ [ ] Cashier's Check#_____________ Amount $_________ [ ] Money Order#_____________________ Amount $_________ Call or shop online to use a credit card. Make check payable to the Hic-Cup LTD and mail with this form to: The Hic-Cup Ltd, P.O. Box 342, Doylestown, PA 18901 |
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