An EcoPlanet Internet Store
(Please use this form only if you are going to mail or fax your order to us. We
recommend that you print it out and then browse the site.)
| MAIL ORDERS TO: | FAX ORDERS TO: |
| EcoPlanet - EcoChoices P.O. Box 1491 Glendora, CA 91740 |
702-543-7003
or |
| Item Number | Description | Quantity | Price Each | Sub Total |
| Sub Total (not including items that require freight quotes): A | ||||
| (see chart below) Shipping & Handling For Above Items: B | ||||
| Sub-total of
Items Requiring Freight Quote: C (Ex: Mattresses/Refrigerators/ & Flooring) |
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| Mattresses/Refrigerators/Flooring Shipping & Handling (Frt. Quote): D |
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| Miscellaneous: E | ||||
| Sales Tax (California Only): F | ||||
| Redeem Gift Certificates:
G Certificate #_____________ Name on Certificate______________ |
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| (Please add A, B, C, E & F. Then Subtract G.) Total | ||||
Note: For Shipments to countries other than the United States, please email us with order details at service@ecochoices.com for a freight quote. |
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| Bedding - U.S. Shipping and Handling | ||||
PLEASE READ: Do not use the chart on the right for mattresses (with the exception of layered mattresses), flooring products, non-maple furniture, or refrigerators. They require a custom freight quote. |
Under $12.00: | $6.95 | ||
| $12.01- $30.00: | $9.95 | |||
| $30.01-$75.00: | $11.95 | |||
| $75.01-$150.00: | $14.95 | |||
| Over $150.00: | 10% | |||
| Checks, Money Orders, Or Cashier's Checks | |
| Please make payable to: EcoPlanet - EcoChoices. Checks must be in US Dollars and be encoded at the bottom of the check. | |
| Credit Cards Billing Information (US Orders Only) | |
| Visa | MasterCard | American Express | Discover | |
| Name as on Credit Card | |
| Company | |
| Billing Street | |
| Billing City, State, & Zip Code | |
| Billing Phone Number | |
| Credit Card Number | |
| Expiration Date | |
|
CCV - Credit Card Verification Numbers: (V/M/D: last 3 or 4 #'s on back of card, AE: 4 digits on) |
|
| Signature | |
| Phone number on back of credit card | |
| Email Address | |
|
Shipping Information |
|
|
Check Here if Same As Billing Address |
|
| Full Name: | |
| Company: | |
| Shipping Street Address: | |
| City, State, & Zip: | |
| Phone Number: | |
Thank You! |
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See website for information about shipping, returns, exchanges, foreign orders, & mattress warranties.