FAX ORDER FORM
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| Please print out and fax this form to:Hotel Supplies Online 775-855-9533 | |||||||
| BILL TO: | Name: | SHIP TO | Name: | ||||
| Company Name: | Company Name: | ||||||
| Street Address: | Street Address: | ||||||
| City, ST ZIP: | City, ST ZIP: | ||||||
| Phone: | Phone: | ||||||
| Email: | Email: | ||||||
| *Please be sure the Billing Information matches the credit card exactly or the order will not go through! | |||||||
| QTY | ITEM # | DESCRIPTION | COLOR | UNIT PRICE | LINE TOTAL | ||
| SUBTOTAL | |||||||
| Credit Card: | SHIPPING | ||||||
| Card Number: | TOTAL | ||||||
| Expiration Date: | |||||||
| 3 or 4 digit Security Code: | |||||||
| Authorized by | Date | ||||||
| Hotel Supplies-Online: Website Http://www.hotelsupplies-online.com | |||||||
| Phone: 215-469-2636 Fax: 775-855-9533 email: sales@hotelsupplies-online.com | |||||||
| Please use this form only if you wish an order summary to pay by check or do not have access to a computer. | |||||||
| Ordering via credit card can be done right online at the site. | |||||||