Mail
Celtic Merchant
2842 Janitell Rd., Suite C
Colorado Springs CO 80906
Phone
Call toll-free
800-226-6309
ORDERED BY:
Name:___________________________________________
Company:________________________________________
Street 1:_________________________________________
Street 2:_________________________________________
City:_____________________ State:______ Zip:________
Day Phone:(______)_______________________________
E-Mail: __________________________________________
SHIP TO:If different than “Sold To ”
Name:___________________________________________
Company:________________________________________
Street 1:_________________________________________
Street 2:_________________________________________
City:_____________________ State:______ Zip:________
Day Phone:(______)_______________________________
ITEM #
QTY.
DESCRIPTION
SIZE/COLOR
UNIT $
TOTAL $
If paying by CHECK, please call 800-226-6309 for shipping and
handling charges. For credit card orders, we will add it to
the total.
PAYMENT METHOD:
[ ] Enclosed check or money order payable to Celtic Merchant
in the amount of: $______________________
[ ] VISA [ ] MasterCard [ ] American Express [ ] Discover
Card No. |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|
Expiration Date: |___|___| |___|___|
Month Year
Signature (Required):_____________________________________________
Remit to: Celtic Merchant
2842 Janitell Rd., Suite C, Colorado Springs, CO 80906
Subtotal:
Shipping & Handling:
3% Tax (CO Deliveries):
TOTAL:
SHIPPING METHOD:
3 Day Air
q
2 Day Air
q
Next Day Air
q
Economy International
q
ORDERING INFORMATION
1.) For mail orders please include check, money order or credit card information.
2.) Fax orders must include credit card information and are processed promptly.
3.) Please call us toll-free at 1-800-226-6309 if you have any questions.
