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Mail (or fax) Order Form Please, make checks payable to Ames Walker Intl., mail with the
Order Form for fulfillment to:
Ames Walker Intl., Mountain View
Plaza, 856 Rt. 206, Suite B10, Hillsborough, NJ 08844; Fax
1-908-359-9471
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| RxFit®
Travel socks shipped from our warehouse by next business day, FREE
shipping on orders over $50 by First Class Mail within USA |
| Description, Color |
Item No. |
Size |
Quantity |
Unit Price
|
Total $ US
|
| 1. |
# |
|
|
$ |
$ |
| 2. |
# |
|
|
$ |
$ |
| 3. |
# |
|
|
$ |
$ |
| 4. |
# |
|
|
$ |
$ |
| 5. |
# |
|
|
$ |
$ |
| SHIPPING & HANDLING: US Mail/UPS Ground/Parcel
Post, USA/Canada, FPO, APO, $2.99 on orders up to $49.99; Free on Orders
over $50. Signature my be req'd on orders over $100. |
$4.95 for Priority Mail 2-3 Days; 2nd Day UPS
$14.95 |
Canada,
$4.95 for US airmail, up to $100 |
Add shipping
expense for expedited shipping, where appropriate |
|
$ |
| TOTAL DUE (Charge
Amount or check amount) |
$ |
| Please, provide
sufficient information so that we may properly process your order without delay. |
| Full Name> |
|
| Full
Street address or P.O. Box> |
|
| City,
St. Zip Code> |
|
| Telephone> |
|
| E-Mail Address> |
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| PAYMENT
INFORMATION:
We accept Visa, MasterCard, American Express, Discover, or mail your Check / Money Order payable to
the Ames Walker Intl. |
| Cardholder Name |
|
| Credit Card Number
[Visa, MC, Amex, Discover] Expiration Date> |
|
| Signature |
| Comments
or Special Requirements:
Thank You for Your Order! |
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