Atlantic Shed, Fax Order Form
It's easy, just Type Your Information in below, Print Out the Form and Fax it to 1-888-397-3259
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ENTER BILLING INFORMATION AS IT APPEARS ON YOUR CREDIT CARD

Full Name  
Street Address  
City      State/Province  
Postal Code      Country  
Telephone       Fax #  
Item # or Description Quantity Price
(1)
(2)
(3)

SUB-TOTAL 

SHIPPING INFORMATION:
$ 0.01 USD to $ 9.99 USD = $ 8.00
$10.00 USD to $49.99 USD = $12.00
$50.00 USD to $99.99 USD = $16.00
$100.00 USD to $199.99 USD = $22.00
$200.00 USD to $249.99 USD = $28.00
$250.00 USD to $ 299.99 USD = $48.00
$300.00 USD and Up = $72.00
TOTAL 
PAYMENT INFORMATION:
VISA
MasterCard
American Express
Discover
    
Card #: 
Verification Code:  From the Back of Card
Expiration Date:
Month:     Year: 

Signature______________________________________

Date_____________

Please Enter Your Email Address And Any Notes About Your Order

Fax Order Form to 1-888-397-3259

Thank you for your order !