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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
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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. |
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Thank You for your
order! |
Case Model# |
Qty |
Case Dimensions |
Wood
Type (circle one) |
Check one |
Price Each |
Total Price |
| Finished |
Unfinished |
| . |
. |
. |
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 |
| Finished |
Unfinished |
| . |
. |
. |
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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