Shipping Address                                                                                                                     

                                                                                                                                                

Billing Address for Credit Card                                                                                              

                                                                                                                                                

Daytime Phone                                                     Email                                                         
 
   Description of items            Quantity           Price                      Total

1.                                                                                                                                  

2.                                                                                                                                  

3.                                                                                                                                  

4.                                                                                                                                  

Method of Payment                                                      Merchandise Total    $                                                   
 
___Visa                                           For delivery in AL, add 4% sales tax    $                                                   
 
___Mastercard                                                                            Shipping      $                                                   

___ Discover Card                                                                              Total    $                                                   

      American Express

Card Number                                                                 Exp.Date                                         

Signature                                                                     Security Code                                    

Name on credit card if different from above                                                                        
 

THANK YOU FOR YOUR BUSINESS

All sales are final.  Please see our ordering information web page for additional information located at www.friendcompany.com.