The Talbot Collection: Order Form

Order Form

Please print out this form for mail or fax orders

Sold To: (please print legibly)
Name _______________________________________________________________________________
Address _____________________________________________________________ Apt. # __________
City ____________________________________________ State ___________ Zip ________________
Phone (day) _________________________________ (evening) _________________________________
Email address:_______________________________________________________

	Item #	Description	Size	Color	Qty.	Price each	Total Price
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	________________
Order Subtotal
California Deliveries add 8.25% tax
Shipping & Handling (see chart below)
Order Total

Delivery Method
(See charges below)
___ Standard Delivery ___ Express Delivery ___ Overnight Delivery

Method of Payment
Please do not send cash!
___ MasterCard ___ VISA ___ Check/Money Order Credit Card Account Number |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Expiration Date: ___/___

Signature (required) _____________________________________________________

Shipping/Handling Charges
For deliveries within the United States ONLY. For rates to all other countries, please call or email us to inquire.

Purchase Amount	Standard Delivery 5-7 business days	Express Delivery 2-4 business days	Overnight Delivery 1-2 days depending on time of order and destination
$0 - $15.00	$5.00	$12.00	$18.00
$15.01-$35.00	$7.00	$14.00	$20.00
$35.01 - $50.00	$9.00	$16.00	$22.00
$50.01-$85.00	$11.00	$18.00	$24.00
$85.01-$100.00	$13.00	$20.00	$26.00
$100.01-$125.00	$15.00	$22.00	$28.00
Over $125.00 Please call to inquire

For faster delivery, we suggest Express or Overnight service.
Credit Card Orders Call (310) 732-4217
Fax Number (310) 832-7366
Customer Service (310) 732-4215

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