Fancifuls Inc.
1070 Leonard Road Marathon, NY 13803
Ph / Fax ( 607 ) 849-6870
www.fancifulsinc.com

Date____________  
Name_________________________________
Business Name__________________________
Shipping Address _______________________
_______________________________________
Daytime Phone # ___________________________
Only Visa & Master Card Accepted
Credit Card #___________________________________
Expiration Date__________________________________
3 Digit Security code on back of card_________________
Name On Card _________________________________
Authorized Signature ____________________________
        SORRY NO C.O.D.
Tax Exempt # ( NY State only )______________________
I Will ___ Will Not ___ Accept Red Items
I Will___ Will Not ___ Accept Back Orders
Is This Your First Order ___YES ___ NO

SHIPPING OPTIONS
  UPS      __GROUND             ___  NEXT DAY
         ____ UPS SECOND DAY         _____  UPS 3 DAY
EXTRA CHARGE FOR UPS SPECIAL SERVICES
 POSTAL SERVICES
___Priority___  w/ Insurance__   w/ Delivery Confirmation
 Foreign Postal Services
___   International Priority  (not insured or traceable)
___ International Express  (insured and traceable)
QTY ITEM NUMBER DESCRIPTION PRICE TOTAL QTY ITEM NUMBER DESCRIPTION PRICE TOTAL
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
         

 

  
             
          Subtotal  $  
          NY State Residents Add 8% Sales Tax  $  
          Shipping & Handling  $  
          GRAND TOTAL  $