Printable Blank Order Form---(this form can not be filled out online)-To order by mail:       Print this page blank and fill out order form and mail to:  La Casa Cards-PO Box 515-Sahuarita, Az 85629   -or fax to:  520-762-8292

Ship to Name:
Address:                                                                                        Apt. or Suite #
City, State, Zip code:
Phone:                                                                                           Email:
Quantity Card Number

Title of Card

Price Each Pkg.

Total

                                   Arizona Residents add 7.1% sales tax...................Tax:

 

 Less than  $20.00 add $4.80 for shipping....$20.00-to $50.00 add $5.95 for shipping---$50.00 to $100.00 add $7.65 for shipping......For orders over $100.00 add $8.95 for shipping. Orders will be sent Priority mail or Fedex home delivery depending on size of order and distance                                        

                                                                                                                                                                                                                   shipping:
   Thanks for your order!      Mail with check or money order     -----     

                                                                             Order Total:                                

 

credit card type (MC,Visa,Discover,Amex)---------------------Name on card-----------------------------------------------------------------------------------

billing address of card if different from shipping address-------------------------------------------------------------------------------------------------------

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-Card #-----------------------------------------------------------------------------

---------------------exp------------------------     3 digit code on back of card----------.(Amex4 digit on  front)..............