Ceci's Wooden Treasures

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Cecilia Salomon
1930 SW 83 Avenue
Miami,FL. 33155
Tel: 305-264-2018
Fax: 305-264-0464

 

(To copy this order form for email, just highlight the form with your mouse, go to edit at the top of your browser, click it, then click on copy, open the email window, put the mouse pointer in the body of the email and go back to edit and hit paste.)

For Easy Ordering you can also Print and Mail this form:
Item Name Qty. Color Total
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Item Name Personalization/Special Instructions
______________________ ______________________________________________
______________________ ______________________________________________
______________________ ______________________________________________
______________________ ______________________________________________
______________________ ______________________________________________
______________________ ______________________________________________
Sub Total: $ __________
FL. Residents add 6.5% tax: $ __________
Shipping/Handling add $6.00 per order to each "Ship to" address 
Total Enclosed: $ __________
Payment Options: Check _____ or Money Order_____
Please allow 2-3 weeks for Delivery *(Shipping Delayed 5 Business Days for Checks to clear- we accept checks by phone, fax, mail or e-mail)

For Check by Fax Complete the following form

Personal Information: (Enter this information EXACTLY as it appears on your check)
Full Name: _____________________________________________________________
Second Name (if applicable): ______________________________________________
Company Name (if shown on check): ________________________________________
Address: ______________________________________________________________
City, State, Zip: _________________________________________________________
Phone number with area code: ______________________________________________
Bank Information:(Enter this information EXACTLY as it appears on your check)
Bank Name: __________________________________________________________
Address: _____________________________________________________________
City, State, Zip: ________________________________________________________
Bank Phone: __________________________________________________________
Check Information:(Enter this information EXACTLY as it appears on your check)
Check Date (dd/mm/yy): _________________________________________________
Check Number: ________________________________________________________
Transit Code (see diagram): _______________________________________________
Bank Routing Number: ___________________________________________________
Bank Account Number: __________________________________________________

Please double check ALL Information before you fax your order to avoid costly delays. Thank You!

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Ship To:
Name:
Address:
City/Providence:
State & Zip Code:
Country:
Phone with Area Code:
Fax with Area Code:
Email:

Thank You For Your Order

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