Tea Haven Fax Order Form (Please print this page.)
www.teahaven.com Fax:
801-846-9162
Date: ________________ Email: ______________________________
Name: ____________________________ Phone: _____________________________
How did you find our website? __Google __Yahoo __MSN __AOL Other:_____________
BILLING INFORMATION
Name on Credit Card: _________________________________________________________
Credit Card Type: ___ Visa ___ MasterCard ___ American Express ___ Discover
Credit Card Number: __________________________________________________________
Expiration Date: ___________________
Card
Verification Number:____________ (3 digit number on the back of the card,
except for American Express.
For American Express it will be the 4 digit
number in front of the card)
Billing Address: ______________________________________________________________
City: _________________________________ State: _____________ Zip Code: __________
Purchase
Amount Shipping
Fee $0.01
to $17.99 $7.50 $18.00
to $29.99 $9.50 $30.00
to $59.99 $11.50
$60.00
to $99.99 $13.50
$100.00
and up FREE Shipping Free
shipping only applies to orders shipped to
Shipping Address:
Name: ______________________________
Address:
_____________________________
_____________________________________
City:
State: _____________ Zip Code:
_________
|
Item
No. |
Item
Description |
Unit Cost |
|
Quantity |
|
Amount |
|
TEA-WB1 |
100 Oolong
Tea Bags |
$24.99 |
x |
|
= |
|
|
TEA-WB3 |
200 Oolong
Tea Bags (save 10%) |
$44.99 |
x |
|
= |
|
|
CHR-110 |
Buy 6
boxes, get 1 free. (100 Oolong tea bags per box) |
$149.94 |
x |
|
= |
|
|
CHR-010 |
Buy 8
boxes, get 2 free. (100 Oolong tea bags per box) |
$199.92 |
x |
|
= |
|
|
CHR-210 |
Buy 10
boxes, get 4 free. (100 Oolong tea bags per box) |
$249.90 |
x |
|
= |
|
|
TWL-001 |
10 oz.
Oolong Leaf Tea |
$23.99 |
x |
|
= |
|
|
TEA-WL1 |
1 pound
Oolong Leaf Tea |
$29.99 |
x |
|
= |
|
|
TWL-002 |
2 pounds
Oolong Leaf Tea |
$56.98 |
x |
|
= |
|
|
TWL-003 |
Buy 3
pounds Oolong leaf tea, get half pound free. |
$89.97 |
x |
|
= |
|
|
TWL-004 |
Buy 6
pounds Oolong leaf tea, get 1 pound free. |
$179.94 |
x |
|
= |
|
|
TWL-005 |
Buy 8
pounds Oolong leaf tea, get 2 pounds free. |
$239.92 |
x |
|
= |
|
|
TWL-006 |
Buy 10
pounds Oolong leaf tea, get 4 pounds free. |
$299.90 |
x |
|
= |
|
|
TEA-WL2 |
Oolong Tea
Starter Kit (1 pound Oolong tea, 12
oz. stainless tea infuser mug) |
$49.94 |
x |
|
= |
|
|
If you are
interested in other products listed on the website, please fill in the
product details below: |
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Item
No. |
Item
Description |
Unit Cost |
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Quantity |
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Amount |
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x |
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= |
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x |
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Sub-Total: |
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Sales Tax
(add 8.25% for |
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Shipping
Fee |
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Total
Amount Due: |
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