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 # ____________________________


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
DOMESTIC POSTAL SERVICES
___Priority
         ___  w/ Insurance
                        ___ w/ Delivery Confirmation

Foreign Postal Services
___ 
Priority International  (not insured or traceable)
___ Express International  (insured and traceable)

QTY ITEM NUMBER DESCRIPTION PRICE TOTAL QTY ITEM NUMBER DESCRIPTION PRICE TOTAL
                   
                   
                   
                     
                     
                     
                     
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
          Subtotal  $  
          NY  Residents Add 8% Sales Tax  $  
          Shipping & Handling  $  
          GRAND TOTAL  $