Pink Apple Printed Order Form
Print this form if you wish to order by Fax or Mail.
Make sure your
entries are complete and clearly legible so that your order is
processed smoothly and your products arrive in a timely manner. Orders can
be submitted by faxing to: 614-527-8565, or by mail to:
2177 Westbelt Dr.
Columbus, OH 43228
|Name and Shipping Information|
|Name:___________________________________||Are you a previous customer? (Y/N):_________|
|Street Address 2:____________________________|
|Shipping and Handling:||$____________|
|Tax (Ohio residents add 6.75%)||$____________|
Visa, MC, Discover, AM Ex, Check or Money Order (Payable to Pink Apple)
Please check one of the following:
Payment by Check / Money Order (Make payable to Pink Apple and mail to the above address)
Payment by Credit Card - My card information is already on file
Payment by Credit Card - My card information is as follows
|Card Number:______________________________||Expiration Date:__________|
|Name appearing on card:_______________________________________________|
|Card Billing Address (only if different from above):|
|City, State Zip:_____________________________________________________|
|I accept the above charge:__________________________________(Signature)|
|**If you are paying by credit card, you may see a charge to PCPD, LLC. This is the same as Pink Apple, and is used to ensure your privacy. This is also the label under which we ship all of our packages.|
Thank you for your order
Please double-check that your order is complete and legible, especially the shipping address and phone number.
Thanks again for choosing Pink Apple.