The MailboxWorks
1743 Quincy Avenue, Suite 151
Naperville, IL 60540
www.mailboxworks.com
How to Submit Order Form
Mail this form to the address to the left or Fax this form to 630-355-9619
Payment Information
We accept all of the major credit cards, including VISA, MasterCard, Discover and American Express. Prepayment is required for all orders. You can e-mail us or call us to get a shipping quote.
Billing Address
Name:
Company:
Street Address:
Street Address 2:
City, State Zip:
,
Phone:
–– , ext.
E-mail:
Shipping Address
Name:
Company:
Street Address:
Street Address 2:
City, State Zip:
,
Phone:
– – , ext.
Item #1
Item Number
Options (Color,size, etc.) *
Quantity
Price
Total
Item #2
Item Number
Options (Color,size, etc.) *
Quantity
Price
Total
Item #3
Item Number
Options (Color,size, etc.) *
Quantity
Price
Total
Totals
Subtotal
# Shipping
@ Tax
Total
* Additional options may also be noted in the additional notes section below.
# Call for shipping charges
@ Orders within Illinois will be subject to tax.
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