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Corporate Gift Order Form

DATE ______________

Sender’s Name ___________________________________________________________________


Address ________________________________________________________________________
City ___________________________________ State ________ Zip Code _________________
Phone ( ______ ) _________________________ Fax ( ______ ) ___________________________

Method of Payment: Mastercard Visa AMEX


Credit Card # _________________________________________ Exp. Date: ________________
_
Name on Card ______________________________ Signature ____________________________

COST TOTAL

_________ 3.5 oz. Tent Bags $5.50 _________


_________ 5.5 oz. Tent Bags $7.50 _________
_________ 8 oz. Gift Tins $15.50 _________
_________ 8 oz. Holiday Gift Tins $15.50 _________
_________ 1 lb. Gift Tins $25.50 _________

(For Texas shipments, add 8.35% sales tax) _________

TOTAL: _________

Corporate Pricing: To qualify the order total must reach a minimum of $250.00.

Shipping: (See Attached)

Product Information: Please store in a cool dry area (68-70 degrees Fahrenheit).
Do not refrigerate. Shelf life is approximately 3-4 months.

To place an order: Complete this form and fax to (903) 533-9895


P.O. BOX 9686 • Tyler, TX 75711 • email: info@txmoon.com

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