C &B Weiser

Order Form
For Buttons Only

(See Our Regular Order Form For All Other Orders)

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
Phone & Fax: (937) 890-9987

We carry a full line of buttons and button collecting supplies. Do not wait for a button show to come to your state!!
Use this convenient order form for all your needs.

Your One-Stop Shopping Catalog!!

Your Name:

Today's
Date:

 

Button ID #

Brief Description of Button

Price
     
     
     
     
     
     
     
     
     

SubTotal1

 

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.

Ohio residents add 7% Sales Tax.   Multiply above SubTotal1 by 0.07 and add to the here => + 

Shipping is $3.50 for the first six buttons and $0.50 for each additional button thereafter

Add $3.50 here = >

+ 3.50 

Multiply the number of buttons (less three) times $0.50 and Add Here= >

 + 
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;  $200.01 - $300.00 add $4.60;  $300.01 - $400.00 add $5.55
We are not responsible for any shipments lost or damaged without total insurance coverage included in the total. =>		 + 

Add appropriate amount for desired insurance coverage here = >

+ 

SubTotal2

  

Gift Certificates/Merchandise Credit Coupons must be enclosed with order.

Subtract credit here =>
- 
Total  
Card #Signature
 Visa     Mastercard    (Circle One)    Expiration Date:

Your email address:
Phone Number:

[Day]:

 Phone Number:

[Evening]:
Nobody home during the day?
We'll ship to your work address.
        Home              Work		 Gift Order delivered to:

Recipient's Phone:
Name (Please Print)

 

Name (Please Print)
c/o

 

c/o
Address

 

Address
City State Zip

 

City State Zip
Country/Province

 

Country/Province
7/14/08

Make Checks payable to C & B Weiser

Payment must be included!

Please include payment for the amount of insurance coverage you desire. However, we will NOT be responsible for any shipments lost or damaged without total insurance coverage included in the total!

We will ship as soon a possible, however, due to our show schedule, some orders may take longer to ship than others. If there is a certain date that the buttons need to be received, please note it.