Printable Order Form for E-Mailing or mailing
Print Name, Address and Phone # Below
Bill to: Name:________________________ Phone______________ Address__________________________________________
City/State________________________________________
Zip______________________________________________
Fed tax #____________________
Ship to: Name:________________________ Phone_______________ Address__________________________________________
City/State________________________________________
Zip______________________________________________
Prices are:
Shipping Charges are:
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Quantity | Item # | Description | Price | Shipping |
Sub-Totals for Price and Shipping |
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Add Price and Shipping Sub-Totals together |
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Taxes at 7.6% for Washington State Residents |
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Total |
Payment information:
Credit Card Type | Credit Card Number | Expiration Date |
- Visa - MasterCard | ||
- or optionally include a Personal Check if mailing in form. |
Scan and E-Mail to - sales@cuddlemewarm.com
(509) 242-8977
Cuddle Me Warm
Ultra Plus Products
1024 E. 10th Ave Colville Wa.
99114