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We have several convenient payment methods to chose from:

1. You may print out and complete the attached Order Form.
Mail completed Order Form with enclosed payment (check, money order, or credit card info) to:

Back In Time Antiques
432 Main Street
Beacon, New York 12508

2. You may phone in your order at: (845) 838-0623.

3. You may Email Us with your request.

(SUGGESTION: Simply phone in your order to verify item availability and all applicable fees.)

NOTE: Items are usually one of a kind. If we cannot process your order, you will be notified within 48 hours after our receiving it. Buyer is responsible for shipping, handling and insurance fees on all items.

Customer Information:
Name:_________________________________________________
Address:_______________________________________________
City:___________________________State:______Zip:__________
Phone:__________________ E-mail:_________________________

Ship To (If Different):
Name:_________________________________________________
Address:_______________________________________________
City:___________________________State:______Zip:__________

Ordering Information:

Item:__________________________________Qty___Price:_____
Item:__________________________________Qty___Price:_____
Item:__________________________________Qty___Price:_____
Item:__________________________________Qty___Price:_____
Item:__________________________________Qty___Price:_____
Item:__________________________________Qty___Price:_____
Item:__________________________________Qty___Price:_____
Item:__________________________________Qty___Price:_____
Item:__________________________________Qty___Price:_____
Item:__________________________________Qty___Price:_____

Subtotal:____________
NY Res. add Sales Tax where applicable:____________
Shipping:____________
Total:____________

Method of Payment:
(US funds only. Out of country, please phone in your Order Request.)

Please Circle One: Check, Money Order, MasterCard or Visa

Card Number:__________________________________Exp. Date______

Customer Signature:__________________________________

Thank You for your Order!

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