C &B Weiser

Order Form

(See Our Buttons Only Order Form If You Are Only Ordering Buttons)


TO ORDER, PRINT THIS SCREEN-SEND COMPLETED ORDER FORM AND CHECK OR MONEY ORDER IN US DOLLARS TO:

7189 Brantford Road, Dayton Ohio 45414-2352
Phone & Fax: (937) 890-9987

We carry a full line of buttons and button collecting supplies. Do not wait for a button show to come to your state!!
Use this convenient order form for all your needs.

Your One-Stop Shopping Catalog!!

Your Name:

Deluxe Display Cards

 

Today's
Date:

 

Item Number

Description

Top Color

Bottom Color

Quantity

Price

Total

             
             
             
             
             
             
             
             
             
             

SubTotal1

 

C & B Weiser GUARANTEE: We guarantee all merchandise. If you are not completely satisfied with your purchase, you may return it to us for a prompt exchange or refund.

GIFT CERTIFICATES: C & B Weiser gift certificates are perfect if you're unsure about what to give your special button friends. The certificates are issued in $5.00 increments and will be mailed along with your message.

All prices and transactions are in U.S. Dollars.

Ohio residents add 7% Sales Tax.   Multiply above SubTotal1 by 0.07 and add to the here =>

Shipping is 10%       Multiply above SubTotal1 by 0.10 and add to the here =>

Handling Charge is $6.00         Add 6.00 here =>

+ $ 6.00 
Insurance (optional) $1.00 - $50.00 coverage add $1.70;  $50.01 - $100.00 coverage add $2.15;  $100.01 - $200.00 add $2.60
We are not responsible for any shipments lost or damaged without total insurance coverage included in the total. =>

SubTotal2

 

Gift Certificates/Merchandise Credit Coupons must be enclosed with order.

Subtract credit here =>


Total  

Your email address:

Card #Signature
 Visa     Mastercard    (Circle One)    Expiration Date:
Phone Number:

[Day]:

Phone Number:

[Evening]:

Nobody home during the day?
We'll ship to your work address.

       Home              Work
Gift Order delivered to:

Recipient's Phone:
Name (Please Print)

 

Name (Please Print)

c/o

 

c/o
Address

 

Address
City State Zip

 

City State Zip
Country/Province

 

Country/Province
6/08

Make Checks payable to C & B Weiser

Payment must be included!