WWW.ALIEN-GIFTS.COMswalien@webtv.net
Name
______________________________________________
____________
Address ____________________________________________ Apt _________
City _______________________ State _______ Zip ________-_______
Phone (_____) ________________ In case we have a question about your order.
E-MAIL______________________________
Credit Card Type__________
Credit Card Number___________________
Expiration Date______________________
Name On Card_________________________
(only if different from above)
| Item No. |
Qty | Item Description |
Color/ Size |
Price | Total Price |
|---|---|---|---|---|---|
| SUBTOTAL | |
|---|---|
| DISC./PROMO (If applicable) | |
| SALES TAX (N.M. Residents add 6%) | |
| PACKING & SHIPPING* | |
| TOTAL ENCLOSED** |
|
Packing & Shipping Cost: Free for orders over $25.00 And Quantity Wholesale Orders Otherwise Add $3.00 Please Check: Your Credit
Card |
Please make check or money order
payable to: DALE ROBERTSON (send extra cash if you like) Roswell Southwest
Alien PLEASE NOTE We do
accept: Include Credit Card Type Credit Card Number Expiration Date.
|
