FragranceWholesale.com
P.O. Box 358 Pebble Beach CA. 93953 USA
Print this form and use it for reference when placing your order by mail.


(A) Ship To: (name and address)
UPS can not ship to Post Office Boxes
(B) Bill To: (please fill in bill to information if
this differs from your shipping address)
Name: _____________________________ Name: _________________________
Address: ___________________________ E-mail: _________________________
Address:____________________________ Address: ________________________
City:________________________ State:___ 
Province:______ Zip:______ Country:_______
Address: ________________________
Telephone:__________________________ City:_____________________ State:___ 
Province:________ Zip:____ Country:_______
E-mail: _____________________________ Daytime Telephone:________________
Above information must match your issuing banks records when using a credit card.

(C) List of Items:

Item #: Item Name: Quantity: Price per Item: Total:
_______ _________________________ ______ ___________ _________
_______ __________________________ ______ ___________ _________
_______ _________________________ ______ ___________ _________

(D) Totals & Shipping:



International Shipping Charges  (All international orders are shipped via USPS)
Shipments can take up to 3 weeks.

 (American Express or Money orders only)

Canada All Other Countries 

Total Order Amount in US $

Shipping Charge

Shipping Charge

$0 to $149.99

15.00

$30.00

$150 to $199.99

20.00

$40.00

$200 to $249.99

25.00

$50.00

$250 to $299.99

30.00

$60.00

$300 to $349.99

35.00

$70.00

$350 to $399.99

40.00

$80.00

$400 to $449.99

45.00

$90.00

$450 to $499.99

50.00

$100.00

$500 to $549.99

55.00

$110.00

$550 to $599.99

60.00

$120.00

$600 to $649.99

65.00

$130.00

$650 to $699.99

70.00

$140.00

$700 to $749.99

75.00

$150.00

 $750 to $799.99

80.00

$160.00

over $800

100.00

$200.00


   
  Merchandise Total:________
  (Our minimum order is 25.00, not including the cost of shipping.)
  UPS Ground Shipping (see chart):________
  UPS can not ship to Post Office Boxes
 
  ONLY add 7.25% sales tax if you are a resident of California:_______
   
  TOTAL:_______


(E) Method of Payment:
For international orders: we only accept American Express or Money orders.

___ Check or money order (payable to "CFL INC")
___ American Express  ___ Mastercard  ___ Visa  ____Discover

Credit card #____________________________ & exp. date:____________
800 # on back of credit card__________________________

I agree to pay the above total amount according to card issuer agreement   X_________________________Date_______
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