PRINT THIS FORM TO PAY FOR AN ORDER USING A CHECK ,MONEY ORDER
OR ANY MAJOR CREDIT CARD
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Nikki's
Pony Express 203-758-2354 |
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Ship
To: Check
One:______Residence______Business |
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First
Name: |
MI.: |
Last
Name: |
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Address
1: |
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Address
2: |
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City: |
State: |
Zip: |
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Phone:
(
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If
this is a gift, indicate message on card
in space below: |
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Check,
Money Order or Credit Card information send with this form to: |
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Name
of Item: |
Qty: |
Unit
Price: |
Options: |
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Subtotal:
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UPS
Ground Residential units:
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*Tax:
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TOTAL:
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Please include
E-mail Address:______________________________________ .
* Connecticut
residents add 6% tax to subtotal amount.
ALL MAJOR CREDIT CARDS ACCEPTED BY PHONE OR MAIL
VISA - MASTERCARD - DISCOVER - AMERICAN EXPRESS
Phone Orders Call Toll Free - 1-866-758-2354
Please e-mail us if you need additional information. Click
here to contact us.
We're sure you'll be pleased with the products that NIKKI'S PONY EXPRESS
has to offer. Come and visit our Web site often.
We're always adding new and exciting merchandise
