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USA Council
of Serra
International
Merchandise
Order Form
Instructions
Please print
this form
and manually
complete the
form to
request
materials
and
merchandise
for your
club
activities.
In addition,
you may
choose to
complete
the Merchandise
Order Form
on your
computer in
order to
print, fax,
mail, or
email your
order to the
USA Council
Office
<click here>.
Please
indicate
whether you
are using a
commercial
or
residential
address.
Using a
commercial
address will
reduce
shipping
costs and
improve
delivery
time. Also,
if you
require UPS
or an
expedited
shipment
please use a
street
address
because UPS
will not
ship to PO
boxes.
Finally, we
also would
be very
happy to
accept your
credit card. |
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[ ]
Commercial
address
[ ]
Residential
address |
Ship to:
(Billing
address
of
credit
card) |
Bill to:
(If
different
from
shipping
address) |
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Name: |
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Street
Address,
Apt. or
Suite # |
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City,
State,
Zip |
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Daytime
Telephone: |
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Print
name
exactly
as it
appears
on
credit
card: |
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Card
Number: |
Expiration
date
(month/year): |
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¨
Please charge my :
 (Circle
one) |
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Quantity |
Item # |
Description |
Price
Each |
Total
Price |
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$ |
$ |
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$ |
$ |
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$ |
$ |
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$ |
$ |
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$ |
$ |
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$ |
$ |
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$ |
$ |
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$ |
$ |
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$ |
$ |
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$ |
$ |
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Merchandise
Total: |
$ |
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(Check one
if desired):
[ ]
UPS
Next Day Air
[ ]
UPS 2nd
Day Air
[ ]
UPS Three
Day Select |
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Standard
shipping
and
handling
charges
apply;
we
will
automatically
add
these
charges
or the
actual
shipping
charges
for
expedited
orders
to the
total
bill.
Note
prices
of
materials,
merchandise,
shipping,
and
handling
charges
are
subject
to
change
without
notice. |
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Return
orders
by
mail
to:
USA
Council
of
Serra
International
·
65 E.
Wacker
Place,
Suite
802
·
Chicago
IL
60601
or,
Toll-free
Fax
888.777.6803
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We
also
accept
telephone
orders
at:
888.777.6681
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