Somerset Silver Order Form

Minimum Wholesale Order - $100.00
Minimum Retail Order - $25.00


Company Name:

 

Ship To Address:

Resale Tax ID#:   City, State, Zip:
Contact:   Phone:
Website/Email:   Fax:
Bead # Quantity Bead# Quantity Bead# Quantity

To ensure your security, please call or fax in your credit card information--do not send it via email:

Method of Payment (circle one):

       Visa           Mastercard

 

Name on card:                                                  

Account #:                                                                                     

Exp. Date:                          3 digit security code:           

Signature                                                       

Do you want us to make substitutions if items are out of stock?    Yes   No

How did you hear about us?

We ship most orders within 1-2 days using USPS or UPS

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You can print this form and fax it to us, or click the Submit button to send it via email.

      

 P.O. Box 253, Mukilteo, WA 98275      Phone: 800-281-1170    Fax: 425-641-3394

www.somerset-silver.com