SPARKLESFOREVER.COM        PRINT THIS FORM                  Call 1-888-812-2206

Address: 4702 E. 4th St., Long Beach, CA 90814                            Fax 562-438-2939    

FAX/PHONE/MAIL IN ORDER FORM

Ship To:

 

Name: _______________________________________________________________________

 

Address: ______________________________________________________________________

 

Address Two: __________________________________________________________________

 

City: __________________________________ State: ____________ Zip: __________________

 

Email Address: ________________________________________

 

Phone Number: (        ) _________- __________ (in case we need to contact you about your order)

 

Order Details

Item Code	Item Name	Size/Color	Qty	Price Each	Total

 

*8.25% Sales Tax is to be added on SUBTOTAL DUE is only applicable for delivery to residents in the state of CA

 

 

 

 

 

 

 

 

 

 

 

PAYMENT INFORMATION:  (DO NOT SEND CASH)

 

 MONEY ORDER ENCLOSED

 VISA     MASTERCARD      AMERICAN EXPRESS      DISCOVER

 

CARD NO.  _______________________________________________________

 

EXPIRATION DATE  ______________________________________________

 

CVB Code (3 digit code on the back of your card) __________

 

Customer Service Number (located on back of card  ___________________________________

 

NAME  __________________________________________________________________

 

SIGNATURE  _____________________________________________________________

 

 

Billing Address:  (If different from shipping address)

 

Name:  ______________________________________

 

Address:  ____________________________________

 

Address 2:  ___________________________________

 

City:  ________________________________________

 

State:  ___________________ ZIP:  _______________

 

Questions:  Call 1-888-812-2206

 

IMPORTANT NOTES ABOUT MAIL IN ORDERS:

1.  Customer service will begin to process your order the day they receive your mail in order.  Orders take up to 48 hours to process.  Once your order has been placed, customer service will contact you directly to inform you of the receipt of your order form and advise you of your order status.

 

To check on the status of your order please contact customer service at customerservice@sparklesforever.com or call us at 1-888-812-2206.