mr sharpey printable order form

mr. sharpey

"CAN'T CUT IT? CALL US!

5620 Wild Oak Drive
Roanoke, VA 24014
540-427-0412
mr.sharpey@verizon.net

***Please fill out and print this form, and include with your order***
Make sure items are packed securely, if it "rattles" it is not packed tight enough!
Also, please fill out and use our printable shipping label at the end of this form!

Contact and billing information:

Name:
Address:
City, State,Zip:	, ,
Phone:	[ ] Day [ ] Evening ( ) -
E-mail:
Contact:

Shipping Address: Same as billing address [ ] , or:

Name:
Address:
City, State,Zip:	, ,
Phone:	[ ] Day [ ] Evening ( ) -
E-mail:
Contact:

Payment Information - [ ] Visa

or [ ] MasterCard

Card Number:	- - -
Expiration Date:		Verification Number: (Last 3 Digits on Back)
Name on Card:

Shipping Preference :
[ ] Priority Mail

Add Insurance? YES NO Insure for $

This Order includes :

Scissors [ ] Clipper Blades [ ] Clippers for Repair [ ]
Laube Clipper - Adjust blade sockets to fit Laube [ ]

Description of clipper problems :

Printable Shipping Label

Please fill out your name and return address on the label below before you
print your order form, then cut out and tape the label to the outside of your package.
Be sure to place your order form inside the package!

FROM:

, ,

TO:	Mr. Sharpey 5620 Wild Oak Drive Roanoke, VA 24014