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"\T                 kT;kT*kTekTkTkTtkTkTkTkT kT P kT kT kT kTtkTkTkTkTkTUfTeTeTeTeTeTeTeTeTeTeT eT eT eT eT eTeTeTJeTXeTXeTXeTXeTXeTXeTXeTeTeTJeTeTeTeTeTeT eT#eT$,eT%,eT&JeT';eT(;eT);eT*;eT+;eT,;eT-;eT.;eT/;eT0;eT1eT2;eT3;eT4;eT5;eT6;eT7;eT8;eT9heT:YeT;;eT<JeT=,eT>;eTG;1]T0]T0]T0]T0]T0]T0]T0]T0]T0]T 0]T 0]T 0]T 0]T 0]T0]T0]T0]T0]T0]T0^Tp^TP^TP^TP^TP^TP^TP^T P^T P^T P^T P^T P^TP^TP^TP^TP^TP^TP^TP^TP^TP^TP^TP^TP^TP^TP^TP^TP^TP^TP^T P$oTPTgTthhhh/=hhhh/=F#Thhhh/=F&%: Callaloo ORDER FORM ; ; ; ; ; ; ;  G  ;  ;  ;  ; ; ; ; ; ; ;#BEAD CURTAINS FAX ORDER FORM l Instructions below    $) Charge to Customer * * * * + Ship To:          First Name:   # #  m          Last Name:   # #  m          Bill Address:  # # #  m          City: State  # # #  m         !The Callaloo Company  Zipcode  # # #  2  n  o      !6140 Highway 6, #133   Tel:         %               !Missouri City TX 77459  Fax:         %               Gillian@My-Callaloo.com  Email    p  /  /  0    Order  ,  -  .     !281 778 7681: Tel      4  3  3  3   5Accepted Signature   Date     !435 203 4155: Fax      4  3  3  3               !413 751 0787: Fax Date: E F P.O. #:   Sidemark: k                           Line QtyName Of Curtain          Curtain Code #   Price/Unit  Price  [T 7? < q r r r r r  r  s  t  u  v w)f     [T 8@ < x y y y y y  y  z  {  |  } ~)g   [T 8@ <x   y y y y y  y  z  {  |  } ~)g   [T 8@ =x   y y y y y  y  z  {  |  } ~)g   [T 8@ =x   y y y y y  y  z  {  |  } ~)g   [T 8@ =x   y y y y y  y  z  {  |  } ~)g   [T 9@ >                  )h    " P                Subtotal P1Please Note: CHECK INFORMATION CAREFULLY!!         1 @CC#  ?  Freight DSpecial Instructions         1 ACC exp      S/Hi    C         2 BVisa/MC 4 digit Code  /  Process  $ # # # # # # #  #  #    Totalj P $ # # #          % & ' ' ' ' ' ' '  '  '  (     ! "#6Explanation: # # # # # # #  #  #  #)$Please see the following links for $ $ $ $ $ $ $  $  $  $@%For Bead Curtains Only: www.Anythingbamboo.com/HbeadC.htm % % % % % % %  %  %  % & & & & & & & &  &  &  &'IFirst and Last 'J'KNot donald duck.please! 'K 'K 'K 'K 'K  'K  'K  'K  'L  'L 'L 'L 'M(HBilling address (N7(OAddress where you receive your Credit Card Bills (O (O (O (O (O  (O  (O  (O  (P  (P (P (P (Q)HTel/Fax/email )N)ORequired for processing )O )O )O )O )O  )O  )O  )O  )P  )P )P )P )Q*YSento address *Z*]No P.O Boxes Please. Sent to address that is different from the billing address will require fax signature confirmation along with a copy of the utility bill. *^ *^ *^ *^ *^  *^  *^  *^  *^  *^ *^ *^ *_ +W +X+`Utility bill must contain customers name and billing address. Sorry for the paranoia, but we have has some bad experiences. +a +a +a +a +a  +a  +a  +a  +a  +a +a +a +b ,H ,N ,O ,O ,O ,O ,O ,O  ,O  ,O  ,O  ,P  ,P ,P ,P ,Q-HP.O number: -N-cYou do not need to fill this out, we will assign you a number, ths will be your order number when referencing any questions. Please keep this number handy when call us! -P -P -P -P -P  -P  -P  -P  -P  -P -P -P -Q.HOrder accepted .Nn.OWhen FAXING your order, you must sign and date the box. When emailing your order, this is not required. .O .O .O .O .O  .O  .O  .O  .P  .P .P .P .Q /H /N /O /O /O /O /O /O  /O  /O  /O  /P  /P /P /P /Q0HCurtain Name 0N0OVery Important 0O 0O 0O 0O 0O  0O  0O  0O  0P  0P 0P 0P 0Q1HCurtain Code 1N1OVery Important 1O 1O 1O 1O 1O  1O  1O  1O  1P  1P 1P 1P 1Q2HCurtain cost 2N:2OAs per style, located at the bottom of each webpage 2O 2O 2O 2O 2O  2O  2O  2O  2P  2P 2P 2P 2Q 3H 3N 3O 3O 3O 3O 3O 3O  3O  3O  3P  3P  3P 3P 3P 3Q 4HCC# 4NN4OMake sure you have all the number with no spaces in between the numbers 4O 4O 4O 4O 4O  4O  4O  4P  4P  4P 4P 4P 4Q 5HCC Exp 5N#5OExpiration date : month/date 5O 5O 5O 5O 5O  5O  5O  5P  5P  5P 5P 5P 5Q6Visa/MC 4 digit code 66Oif you are using a visa/MC card, 3 digit code at the right hand corner - back of your visa card, AX- front right (see below) 6O 6O 6O 6O 6O  6O  6O  6P  6P  6P 6P 6P 6Q 7H 7N 7O 7O 7O 7O 7O 7O  7O  7O  7P  7P  7P 7P 7P 7Q8[Process 8\8dProcess Fee: If order form is send via email - $0.00, Order form send via Fax: $5.00, Order sent via telephone or ascii email: $15.00 8e 8e 8e 8e 8e  8e  8e  8e  8e  8e 8e 8e 8Q9YFreight 9Z9YShipping continental USA: 1 bead curtain: $16.50, 2 curtains: $25.00, 3 curtains: $30.00, 4 curtains: $35.00, for more than 4 curtains 9^ 9^ 9^ 9^ 9^  9^  9^  9^  9^  9^ 9^ 9^ 9_ :W :Xg:W please contact us for shipping cost. Please contact us for freight outside the continental USA. :a :a :a :a :a  :a  :a  :a  :a  :a :a :a :b;HHandling ;N;O$2.00 per curtain ;O ;O ;O ;O ;O  ;O  ;O  ;P  ;P  ;P ;P ;P ;Q <RTotal <S]<TThis is the amount you will see on your credit card once the order is approved by you. <T <T <T <T <T  <T  <T  <U  <U  <U <U <U <V = = = = = = = =  =  =