Printable Order Form

Here is a printable order form for easy and secure ordering if you prefer not to put your credit card online to place your order. We have made this form to make it easy for you to place your order. Just print it out, fill it in and fax it (978-745-2334) with your credit card number or send it with your check or money order* to Treasures Over Time, 131 Essex St. Salem, MA 01970. Security is a priority with us. We are therefore offering you this option for ordering from us if you prefer.


*Please note that your order will not be processed until your check clears the bank 
 

  Item #

Product Description

Quantity

Price

 

 

 

 

 

 

 

 

 

 

 

 

 


Customer Information

*if using a credit card this information must match the billing information
on your credit card statement.

 

First Name            _________________________

Last Name            _________________________

E-Mail                     __________________________

Address                 __________________________

State                       __________________________

Zip                           _____________

Telephone             _________________________

 

Payment Type                      ______ Check      ______ Money Order  or

Credit Card Type                 ______  MasterCard        ______ Visa

Credit Card Number           ________ ________ _________ _________

Expiration Date                    _____ ______ ______

*The information in the customer section above must match the name,

billing address and phone number of the card holder of the credit card

 

Security Code                       ____________

*Please turn your card over for the 3-digit security code on the back of

your card – the last three numbers in the sting of numbers

 

Customer Signature           _______________________________

 

Credit Card fraud is a felony. Treasures Over Time will prosecute

anyone attempting to misuse a credit card number.

 

Authorization #                     _____________

*Leave this blank, we will add this once your payment has been processed

 

Shipping Info

(If sending as a gift)

 

First Name            _________________________

Last Name            _________________________

E-Mail                     __________________________

Address                 __________________________

State                       __________________________

Zip                           _____________

 

Please check over this form carefully to make sure everything is correct.

Also, check our Ordering Policy page for more information and UPS to find

out approximate shipping charges for your package. Once you sign and

send us this form you agree to accept all final fees assessed on your

order, including shipping and handling fees. We will e-mail you with

your final total.

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we gladly accept mastercard and visa in our shopping cart  
Accept Credit Cards Online
 

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