TIMBERCREEK ACRES ORDER FORM
(2 Pages)

Print out the Order Form, fill it out, and fax to:  513-851-2780

 QTY.  PRODUCT COLOR SIZE AMOUNT TOTAL
           
           
           
           
           
           
 
Sub-Total:  
Add 7% sales tax:  
Shipping (max $25 per crate within the 48 states via normal UPS handling)
I will contact you (call, email, fax) to confirm this order and shipping cost prior to processing your credit card.		  
(Estimated) Grand Total:  

BILLING ADDRESS:
Name:  
Address1:  
Address2:  
City, State ZIP  

How can I contact you?
 Phone Number:  
 Fax Number:  
 Email address:  

SHIPPING ADDRESS IF DIFFERENT THAN BILLING ADDRESS:
Name:  
Address1:  
Address2:  
City, State ZIP  


PAYMENT:
CREDIT CARD #:                                                      **
Expiration Date:             

** In addition to the card number, I must have:
The digits on the back of the card in the signature area.
Some cards there is xxxx xxx in the signature line on the back of the card.
Some cards it's on the front.
This number is NOT raised, just printed on card.
Sale will not go through without this number.
 Circle One:          VISA          Master Card          Discover
Name EXACTLY as on Card:                                                      
Signature:                                                  

Money order mail to:
Timbercreek Acres
1499 Jonquilmeadow Drive
Cincinnati, OH 45240

NOTE: ALL SALES ARE FINAL!

Thank you for ordering from Timbercreek Acres!

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