Hallen Display Cases

205 Washington St. Box 92 Dover Illinois 61323-0092 USA

Notice: All information given on this order form is held in the highest and strictest of confidence and is not rented, sold, or given out by us for any purpose. It is for our use only. Any information entrusted to us by our customers whether private or otherwise is just that: private. Our business is display cases, not the name brokerage business, so please don't request any information about our customers. Thank you!

Mail in Order Form

month / day / year
Date: ___/____/____

Name: ______________________________________
Address: ____________________________________
City: _______________________________________
State or Country:___________ZIP________+4_____
Email (optional): _____________________________
Phone No (optional): __________________________

Please print clearly and make
payment payable to:
"Hallen Display Cases"

Note: When at all possible do not send currency through the mail.
Note: If we have a question about your order, we can contact you much faster if you have given us your phone no or email address.

Thank You for your order!
Case Model#	Qty	Case Dimensions	Wood Type (circle one)			Check one		Price Each	Total Price
Case Model#	Qty	Case Dimensions	Wood Type (circle one)			Finished	Unfinished	Price Each	Total Price
.	.	.	Maple	Oak	Mahogany			$	$
.	.	.	Maple	Oak	Mahogany			$	$
.	.	.	Maple	Oak	Mahogany			$	$
.	.	.	Maple	Oak	Mahogany			$	$
SPECIAL ORDERS
Custom Case	Qty	Dimensions	Wood Type (circle one)			Check one box		Other Wood Type	Price
Custom Case	Qty	Dimensions	Wood Type (circle one)			Finished	Unfinished	Other Wood Type	Price
.	.	.	Maple	Oak	Mahogany				$
			Maple	Oak	Mahogany				$
Merchandise subtotal:									$
Display cases not available for sale in the State of Illinois......................................									XXXX
Shipping/handling per case total:									$
Information on acceptable methods of payment can also be found on our Policies page. Total Amount Due:									$

(Shipping/Handling Charges Subject to Change according to Carriers)
USA - For all shipments within the Continental United States only:
Shipping/handling charges on display cases HDC-01 thru 08, is $34.10 US per case.
Shipping/handling charges on display cases HDC-09 thru 14, is $41.80 US per case.
Shipping/handling charges on display cases D-1000 thru 1011, is $25.20 US per case.

Note: For orders outside continental United States we only accept money orders and bank drafts in US
currency. Since shipping/handling charges will vary, you may contact us or write us for exact costs.

"To help reduce credit card fraud and to protect ourselves, we do not accept credit cards.
We apologize for any inconvenience that may cause honest credit card holders."

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