Gift Certificates Item of the Week Home Catalogues Search Order Form Terms of Sale Payments Consignments Glossary Bibliography Privacy About Us Appraisals Links |
Coup de Foudre LLC Please provide all the information in the spaces below and check it twice to verify that it is correct. Errors or incomplete information will delay your order! You may send this form electronically, using the button below, or you may print this form and mail it to: Coup de Foudre LLC; P.O. Box 9; Annapolis, MD. USA 21404-0009. You may also pay using a Credit Card by clicking on the PayPal button below. PayPal is a third party service that provides security when it is used.. NOTE: Use Tab and your mouse to move thru this form, not your Enter key (which will Send the document.) |
|
Check if it is the same as your shipping address |
Name |
Company |
Street |
City |
State/Province |
Postal Code |
Country |
|
|
Name |
Company |
Street |
City |
State/Province |
Postal Code |
Country |
|
Billing Information |
I will pay by Check or Money Order |
I will pay by Credit Card after you set up an Account for me. |
Home Telephone |
Work Telephone |
I am paying for item: |
|
|
|
Coup de Foudre, LLC
P.O. Box 9 Annapolis, MD USA 21404-0009 |
© 2000-2001 Coup de Foudre, LLC / Terms, Conditions & Disclaimers |