Printable Order Fax Order Form
Please fill out this form completely and fax back to 610-500-5068
List of Items:
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Item # |
Item Name: |
Qty: |
Price/Item: |
Total: |
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Merchandise Total: |
_________________ |
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Shipping Total**: |
_________________ |
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Grand Total (Merchandise + Shipping) |
______________ |
Shipping Information: (*required field)
*Name: ____________________________
*Address Line 1: ____________________________
Address Line 2: ____________________________
*City: _________________, *State: ________ *Zip: ___________
*Telephone Number: ________________________
*Email Address: ___________________________
(Your Email Address will be used to send order confirmation and product tracking notices to you)
Comments:_____________________________________________________________________________
_______________________________________________________________________________________
(Please indicate any special shipping instructions)
Payment Information:
*Card Type: __________________
*Credit Card #___________________________ *Expiation _____________________
*CVV Code: _________ (3 Digit Code on the Back of Your Credit Card)
*Billing Zip Code: ______________
Please print this form, complete it, and fax it to 610-500-5068
THANK YOU FOR SHOPPING WITH COLES SPORTS COMPANY!
**Shipping Charges:
Various Prices
$5.99 Flat Fee Shipping for Orders Under 10 Pounds
Orders over 10 pounds subect to extra charges.
Some Large Container and Heavy Product Shipping Costs Apply; You will be contacted if this applies to your order. If you have any questions please email us at info@Colessports.com.
***Please Note: Multiple item orders may ship from multiple warehouses. In these instances you will recieve multiple tracking numbers via email as the items ship. You can email us at
info@Colessports.com if you have any questions about multiple shipment orders.