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May Himalaya Fan Store Order Form
 
Enter Your Catalog Product Selections Below: Copy & Paste for best results.
NOTE: You may have to place cursor on the Price (I$20.00) and click `Backspace` to show desired quantity.
Item #
Item Description
Size
Color		PriceQtyTotal
   
   
   
   
   
   
Sub-Total:
Shipping & Handling ($5.00):
Grand Total:
Please enter all required information. The prompt processing of you order depends on it.
 
 
Customer E-Mail
E-Mail:*

If BOGO coupon received, Please type in desired item.*

BOGO coupon#*

Billing Information
 
Name
 

First Name

Last Name
 
Address
 

Street Address
 

Address Line 2
 

City

State / Province / Region
 

ZIP / Postal Code

Country
Shipping Information
 
Same as billing information?
Yes
No

 
Name
 

First Name

Last Name
 
Address
 

Street Address
 

Address Line 2
 

City

State / Province / Region
 

ZIP / Postal Code

Country
Payment Information
 
Credit Card
 

Card Number

Card Brand
 

Expiration Month

Expiration Year
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