Recovery Place Printable Order Form

Recovery Place Printable Short Order Form
72 Burnett Rd. Warwick, RI 02889
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At this time we are not using Stock Numbers for all items because there are so many and I'm adding more every day! Please use the page number where you found the item, followed by the number of the item on that page.
Please be specific and complete with respect to sizes, colors, etc. and ALWAYS include return contact information such as e-mail and/or telephone. You can place info anywhere on this form.
SHIPPING CHARGES Add $3.00 for shipping on orders up to $25.00 and $5.00 for orders over that. If your order is substantially less or more to ship we will contact you or give you a credit automatically. We do not want to make money on shipping and we feel that handling is our job and should not be charged to you.

DATE___________________

Name

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Phone

E-mail

QTY DESCRIPTION

BILLING

Credit card

Cardholder name

Card number

Expiration date

Last revised 061104

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Phone
E-mail

	BILLING
Credit card
Cardholder name
Card number
Expiration date