Trader Rose Online Order Form You can fill out this form and send it via the internet, or print it and fax it to (505) 899-2739 If you would like you can call in your order (505) 771-0235 Or call toll free 1-877-216-9200
Please provide the following contact information:
First Name Last Name Street Address Address (cont.) City State/Province Zip/Postal Code Country Work Phone Home Phone FAX E-mail Free Gift Wrapping Yes
RAT-1B Turquoise $14.95
$ 7.00
Total
21.95
*Over 2 pounds and $l00 value insurance cost will be quoted prior to shipment.
Shipment will be made within three days if the items are in stock. However, as most of our merchandise is handcrafted please allow additional time for those one of a kind items. We will advise you via e-mail accordingly. Thank you for allowing us to be of service to you.
Payment information:
How would you like to pay for your account? * Payment Type Visa MasterCard Other Enter the appropriate payment information (if applicable): If you picked "Other" in above choices we will contact you at the phone number listed above for payment information
Cardholder's Name :
Expires:
Please enter the cardholder's name exactly as it appears on the card.