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Green Form |
Print this form and send to: Bright Star Promotions, Inc. 3428 Hillvale Road Phone orders (502) 423-STAR Fax: (502) 423-7827 Make Check Payable to: Bright Star Promotions, Inc. |
| Please ship me the following:
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| ITEM | Price | Postage* | Total |
|
| Valerie's 3-pack Special | $ 24.00 |
Included |
$ 24.00 |
|
| [ ] 1 Small Green Bag Package (10 bags) | 1 |
$ 4.25 |
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| [ ] 1 Medium Green Bag Package (10 bags) | 1 |
$ 5.25 |
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| [ ] 1 Large Green Bag Package (10 bags) | 1 |
$ 8.95 |
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Postage rates: 1-3 packages add $6.95 postage 4-8 packages add $8.75 postage 9 or more packages add $12.55 postage |
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| * Postage to USA and Canadian Addresses is the same | ||||
| Check here for Signature Delivery Confirmation | $2.75 |
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| Kentucky residents add 6% Sales Tax | $ |
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| International addresses add additional postage ADD | $8.00 |
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TOTAL: |
$ |
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| When paying by check or Money Order please make payable to: Bright Star Promotions, Inc. |
| Your Name: _____________________________________________________________________ |
Address: ________________________________________________________________________ (Please include apartment number or suite number in the address if applicable) |
|
Phone number ( _____ ) __________________ Canadian Providence ______________________ |
| We communicate with you via eMail to confirm this order with a link showing you more ways to use your Green Bags Plus. Occasionally we will eMail you with our Green Bag special offers or new products. You are our valued Green Bag Plus user-customer and we NEVER rent or sell our customer's emails. |
Email Address _____________________________________________ Please check for accuracy |
| We accept MasterCard, Visa, Discover and American Express |
Please charge $ ________ to my credit card _____ _____ _____ _____ Expires: ______ |
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3-digits: ______ Found on the back of your MasterCard or Visa credit card or 4 digits for Discover and American Exp. |
Name on the charge card. ____________________________________________________ |
Thank you for your order! Valerie Rogers is your Friendly Green Bag Plus Online Seller |
We will process your order promptly and will contact you by eMail. Your credit card will not be charged until we are ready to ship your order. Credit Card sale will appear on your statement from Bright Star Promotions, Inc When paying by check, please make payable to: Bright Star Promotions, Inc. |