MORGAN'S CANDLES
58 HIGH ST.
MONTROSE, PA 18801
MAIL IN ORDER FORM
Billing Information:
Name: ___________________________________
Billing Address: ___________________________________
___________________________________
___________________________________
Phone Number: ___________________________________
Email Address: ___________________________________
Shipping Information
___ Check if Shipping Information is the same as Billing Information (otherwise give shipping information below)
Name: ___________________________________
Shipping Address: ___________________________________
___________________________________
___________________________________
Product Information:
| Product # | Product Description | Scent/Color | Qty | Price Each | Total Price |
|
|
Special Instructions
Method of Payment
___
VISA ___ M/C ___
AMEX ___ DISCOVER
___ CHECK/MONEY ORDER (Please make payable to: Morgan's Candles)
CC#: ___________________________ Exp Date: ___________ Security Code: ________
Signature: _________________________________ Date: _____________