| Frame Order Form
E-MAIL AN ORDER: simply send the order information to us by email. Email half of your your credit card information in one email and the other half in a separate email.
SEND SECURE: Send your Credit Card Information by Secure Server
FAX AN ORDER: Fill out this form and fax to: 1-435-674-5168.
PHONE AN ORDER: Call toll-free 1-800-295-5217, from 10 a.m. until 6 p.m. Mountain Time.
MAIL AN ORDER: Print out this order form and send to:
Bracken House, Inc.
70 West 700 South
St. George, Utah 84770 USA |
Payment must accompany order and must be in United States funds.
SHIPPING & HANDLING: will be added for the actual amount of shipping costs.
All shipments will be made by U.P.S. unless otherwise requested. |
| FRAME STYLE (#) |
FINISH (color) |
SIZE |
QUANTITY ORDERED |
PRICE PER UNIT |
AMOUNT |
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| SUB-TOTAL | $ |
| SHIPPING & HANDLING | $ |
| ORDER TOTAL | $ |
| SHIPPING INFORMATION: Complete the following form. Please print clearly. |
| FIRST NAME: | . |
| LAST NAME: | . |
| SHIPPING ADDRESS: | . |
| EMAIL ADDRESS: | . | PHONE: | . |
| CITY: | . | STATE: | . |
| ZIP: | . | COUNTRY: | . |
| PAYMENT METHOD: CIRCLE ONE. |
| VISA | MASTER CARD | DISCOVER |
AMERICAN EXPRESS | CHECK OR MONEY ORDER | . |
| CREDIT CARD NUMBER: | . |
| EXPIRATION DATE: | . |
| YOUR SIGNATURE: | . |
| MAIL TO: |
Bracken House, Inc.
70 W. 700 S.
St. George, Utah 84770
U.S.A.
PHONE: 800-295-5217
FAX: 295-674-5168
EMAIL: bracken@brackenhouse.com
LOCATED AT: www.brackenhouse.com |
Contents of this order form, catalog, and all other materials on this site are
copyright Bracken House, Inc. 1998. |
