Visa
Mastercard
AmericanExpress
Check / MO
Credit CardVentana
Catalog
Mail Order Form
112 Harvard Ave. #222
Claremont, CA 91711
Toll-free
#
1-888-220-2000
ventana@ventana-catalog.com
http://www.ventana-catalog.com
| Bill To: | ||
| Name: | ||
| Address: | ||
| City: | State: | Zip |
| E-mail: | Phone: | |
| Ship To (if different): | ||
| Name: | ||
| Address: | ||
| City: | State: | Zip |
| E-mail: | Phone: | |
| Product Name / Description | Item # * | Size | Quantity | Unit Price | Total |
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Sub
Total
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Shipping
& Handling
(See Chart Below)
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CA Sales
Tax 8.25%: (CA
Residents Only)
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TOTAL
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| Shipping
& Handling Charges in
the Continental USA, Alaska & Hawaii: For US Territories, APO & FPO, please add $3.95 to regular shipping charges. For Canada, please add $8.95 to regular shipping charges. |
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|
For a Shipment Total of: |
Add Shipping & |
|
Up to $20.00 |
$6.95 |
| $20.01-35.00 | $7.95 |
|
$35.01-$50.00 |
$8.95 |
|
$50.01-$75.00 |
$9.95 |
|
$75.01-$100.00 |
$10.95 |
|
$100.01-$120.00 |
$12.95 |
|
$120.01-$150.00 |
$14.95 |
| $150.01-$200.00 | $16.95 |
|
$200.01-$250.00 |
$20.95 |
|
$250.01-$300.00 |
$24.95 |
| $300.01-$400.00 | $28.95 |
| $400.01-$500.00 | $32.95 |
| Over $500.00 | Please call for quote |
| Payment Options: | Credit Card Information |
Visa |
Mastercard |
American Express |
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Check / MO |
Credit
Card # : |
Expiration
Date : |
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Credit Card |
Name
on Card : |
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| Signature
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* Please note: To find a
product's item number, please add the item "To Cart,"
then use the back browser button to return to the product page.
Should a product's item number be unavailable, please provide us the product
name and description (e.g. size, type, color or fragrance, as applicable).
Thank you for shopping with Ventana Catalog!