| Full Name |
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| Company |
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| Day Phone |
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| Home Phone |
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| Fax |
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| |
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| Address 1 |
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| Address 2 |
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| City |
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| State/Province/County |
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| Postal/Zip Code: |
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| Country |
| Ship to Company | |
| Ship to Name |
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| Recipiant Phone number | |
| Ship to Address 1 |
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| Ship to Address 2 |
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| City |
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| State/Province |
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| Postal/Zip Code |
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| Country |
| Name on Card |
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| Card Type (VISA or Master Card) |
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| Card Number |
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| Expiration Date |
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| Card Code (3 digits, usually after card# on the back of the card) | |
| Customer Service Phone Number (Usually on the back of your card) |
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Item Number & Description |
Quantity |
Total |
| $ |
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| $ |
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| $ |
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| $ |
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| $ |
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| $ |
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| Products Total |
$ |
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Add Warm Weather Packaging: Yes /No $2.00 for orders under $39.99 $4.00 for orders $40.00 to $99.99 $8.00 for orders $100.00 to 199.99 $13.00 for orders over $200.00 |
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| *Shipping Method:
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By filling and submitting above order, I agree to pay and authorize
Global Chocolates to charge me for this order. I affirm that the name, personal
information and Credit card or checking information provided on this order form
is true and correct and I am the authorized user of the credit card or checking
account. I further declare that I have read, understand and accept Global Chocolates’
business terms as published on its web site at www.GlobalChocolates.com/info.htm.
Signature ……………………………………………………….
Date……………..
"Please check all the information again, FedEx & UPS Charge you for
address correction fee and the delivery will be delayed."
Please check our website for current items
and prices.
www.globalchocolates.com 814
Voyager Way, Hayward , CA. 94544 Voice & Fax: (510) 868-1950 E-Mail: info@globalchocolates.com