 HEARTS OF IRON |
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| ORDER FORM | |
Order by Fax: 1-516-773-1871 |
Order by Phone: 1-516-504-0500 |
| Order by Mail: 211-10 Hillside Ave, Queens Village, NY 11427 | |
Print this form. Submit order by Fax or Mail. For phone order, pleave have the necessary information ready. Thank you. ~ Hearts of Iron~
| Item # | Description | Qty. | Price |
| example: NH103 | Sterling Silver Lg Free Weight Pend on Cable Chain | 1 | 275.00 |
Name: ___________________________________________________ |
Address: __________________________________________________ |
City: _____________________State:______ Zip: _________________ |
Phone #: _______________________Fax #_______________________ |
Email Address: _____________________________________________ |
Two week return policy. No returns on custom orders.
__ Check, __ Money Order or Credit Card accepted (check one) |
__ Master Card __ Visa __ Amex Expiration Date: __________ |
Credit Card No: _______________________________________ |
Billing Address: _______________________________________ |
____________________________________________________ |
I hereby authorize Hearts of Iron Ltd., to charge my above listed credit card for the amount of the items ordered, plus $6.50 for shipping & handling and applicable tax. |
_________________________________________________________ |
(Cardholder Signature) |
| Total Amount of Order | $ _____________ | . | __________ |
| Tax (NY only) | $ _____________ | . | __________ |
| Shipping & Handling | $ 6 | . | 50 |
| Total Amount Due | $ _____________ | . | __________ |
| Make Checks payable To: Hearts of Iron | |||