QUALITY GIFT IDEAS
PRINTABLE MAIL ORDER FORM
v11/7/04

-Payment must accompany order. Do not send cash
-Make checks payable to "PC Graphix"
-Questions? Call 803.278.1425 or email sales@qualitygiftideas.com
-Mail completed order form & payment to:
PC Graphix - Quality Gift Ideas
110 Windy Mill Drive
North Augusta, SC 29841		 Office Use Only:
DVD Format: ___________________
Payment: Check#         $_________
               CC Processed on _______
Produced: ____________
Shipped: ____________
Order Finalized: __________
NOTE: Special offers & discounts are exclusive to orders placed online.  These offers are not available on mail orders.

Date:_____________

SHIP TO:
First & Last Name  
Street  
City, State Zip  
Phone #  
Email  
ORDER FORM

Quantity

 Description (search online for proper description) Price/DVD Total
    $24.95  
    $24.95  
    $24.95  
    Subtotal  
    SC - Add 6% Tax  
    Shipping*

$3.85
    Grand Total  
*Shipping fee is $3.85 per shipment of up to 4 DVD's. All orders will be shipped. No pickups permitted.

PLEASE SPECIFY DVD PLAYER MAKE & MODEL #: _____________________________ (required for compatibility)
Examples: APEX AD1010W, Playstation 2, DVD-ROM, etc. 

Payment Method

Circle Payment Option:     By Check     OR       MasterCard - VISA - American Express - Discover
Exact Name On Card: ____________________________________________
Mailing Address of Card (if different from above):___________________________________________
Credit Card # ____________________________________
Expiration Date: ___________
Security Code:________ (required for AmX & Discover)
Signature ___________________________________________(required for credit card orders)

Comments: _____________________________________________________________________________________
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