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Print form and mail or fax to: Antiki Trading Company
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FAX / MAIL ORDER FORM |
| Please Print (In BLOCK LETTERS): Please process my
order for the items requested. MasterCard__ Visa__
Discover__ American Express__ Card Number _____________________________________ Exp Date _________ Signature_______________________
Email Address ____________________________________ Comment ________________________________________ ________________________________________________ |
Name_____________________________________________ Address __________________________________________ City/State/Zip ______________________________________ Daytime Phone _____________________________________ Credit Card Billing Address (If different than above): Name ____________________________________________ Address__________________________________________ City/State/Zip ______________________________________ Daytime Phone _____________________________________ |
| Item # | Product Name / Description | Qty. | Unit Price | Total |
| Merchandise Total | |
| Shipping & Handling | |
| Sales
Tax (Texas residents add 8.25% sales tax to total purchase) |
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| Total Amount Enclosed |
| Thank
you for shopping at Antiki.com!
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FREE
SHIPPING* On Orders Over $100! *Standard UPS Ground shipping in the Continental USA is free on purchases over $99.99. Our free shipping offer is limited to the 48 contiguous states only. Residents of Alaska, Hawaii, Puerto Rico, Guam, and Virgin Islands, please click HERE for more shipping rates and information. Status
of an Order / Customer Service |