C &B Weiser Order Form
(See Our Buttons Only Order Form If You Are Only Ordering Buttons)
TO ORDER, PRINT THIS SCREEN-SEND COMPLETED ORDER FORM
AND CHECK OR MONEY ORDER IN US DOLLARS TO: 7189 Brantford Road, Dayton Ohio 45414-2352 We carry a full line of buttons and button collecting supplies. Do not wait for a button show to come to your state!! Your One-Stop Shopping Catalog!! Your Name: Deluxe Display Cards Today's Item Number Description Top
Color Bottom Color Quantity Price Total SubTotal C & B Weiser GUARANTEE: We guarantee all merchandise. If you are not completely satisfied with your purchase, you may return it to us for a prompt exchange or refund. GIFT CERTIFICATES: C & B
Weiser gift certificates are perfect if you're unsure about what to give
your special button friends. The certificates are issued in $5.00
increments and will be mailed along with your message. All prices and transactions are in
U.S. Dollars. Shipping is 10% Handling Charge is $6.00 SubTotal Gift Certificates/Merchandise Credit Coupons must be enclosed with order. Subtract credit here => Your email address: [Day]: [Evening]:
Name (Please Print)
Make Checks payable to C & B Weiser Payment must be included!
Phone & Fax: (937) 890-9987
Use this convenient order form for all your needs.
Date:
Ohio residents add 7% Sales Tax. Multiply above SubTotal1 by 0.07 and add to the here =>
+
+
+ $ 6.00
Insurance (optional) $1.00 - $50.00 coverage add $1.70; $50.01 - $100.00 coverage add $2.15;
$100.01 - $200.00 add $2.60
We are not responsible for any shipments lost or
damaged without total insurance coverage included in the
total. =>+
-
Total
Visa Mastercard (Circle
One) Expiration Date:
Card # Signature
Phone Number:
Phone Number:
Nobody home during the day?
We'll ship to your
work address.
Home Work
Gift Order delivered to:
Recipient's Phone:
Name (Please Print)
c/o
c/o
Address
Address
City
State Zip
City
State Zip
Country/Province
Country/Province
6/08