3PoundUniverse.com Mail Order Form
7495 Pyrite Way, Castle Rock, CO  80108
 

We'll send you a confirmation email when your order ships.  We DO NOT rent or sell email addresses.
BILL TO:   SHIP TO:
Name: Name:
Address: Address:
   
City: City:
State: Zip: State: Zip:
Daytime Phone: Daytime Phone:
Email: Email:
 

ITEM # QUANTITY ITEM NAME / DESCRIPTION UNIT PRICE TOTAL PRICE
         
         
         
         
         
         
 
MERCHANDISE SUBTOTAL  
COLORADO DELIVERIES ADD 8.1%SALES TAX  
U.S. SHIPPING VIA US POSTAL SERVICE:
GROUND (2-3 DAYS) -ADD:
- $5 for orders less than $50
- FREE FOR ORDERS $50 OR MORE!
EXPRESS (1-2 DAYS) ADD:
- $20 for orders under $50
- $25 for orders $50 - $100
- $30 for orders over $100

TOTAL  

Thank you for your order.  Visit us again!
www.3PoundUniverse.com

COMMENTS:

PAYMENT METHOD

 

 Check or Money Order  

 □ Enclose total amount payable to 3 Pound Universe

Credit Card
 □ VISA
 □ MasterCard		  □ American Express
  □ Discover
CARD NUMBER:
       
       
       
       
EXPIRATION DATE (mm/yy):  
       

SIGNATURE (REQUIRED):

CARDHOLDER NAME:
You will not be charged until the item is shipped.  Cardholder name must match name on card billing address.  Signature required for credit card purchases only.