Beady Beach Bum Bugle

August/September Issue

Fax and Mail Order Form PO Box 3884, South Padre Island, TX 78597 Email: orderdesk@serenitybydesign.com

Fax and Mail - Order Form

Please USE THE PRINT OPTION of your Web Browser to copy this page. To place an order, fill out your paper copy and send it to the above address. Remember to include a check or money order made out to Serenity by Design or include your Mastercard or VISA account number and expiration date AND be sure to include your billing name, address, phone number and you E-MAIL address. This is required by our merchant account processor. You may also place your order via telephone (956-454-7624) or fax (956-761-9579). Thank you!

Please check one: If a product is unavailable, would you like us to pick an: alternate ________ credit_________ refund_________

SHIP TO	___________________________________________________
ADDRESS	___________________________________________________
CITY/STATE/ZIP	___________________________________________________
COUNTRY	___________________________________________________
TELEPHONE #	___________________________________________________
EMAIL	___________________________________________________
M/C or VISA #	______________________________ EXP DATE ___________
SIGNATURE	___________________________________________________

ITEM#	DESCRIPTION	QTY	UNIT$	EXT $
_______	____________________________________	_____	______	_______
_______	____________________________________	_____	______	_______
_______	____________________________________	_____	______	_______
_______	____________________________________	_____	______	_______
_______	____________________________________	_____	______	_______
_______	____________________________________	_____	______	_______
_______	____________________________________	_____	______	_______
_______	____________________________________	_____	______	_______
_______	____________________________________	_____	______	_______
_______	____________________________________	_____	______	_______
_______	____________________________________	_____	______	_______
_______	____________________________________	_____	______	_______
_______	____________________________________	_____	______	_______
	Sub-Total			_______
	Texas Residents 8.25% Sales Tax			_______
	Shipping (see below)			_______
	TOTAL			_______

Shipping
We ship all orders under 1 pound by US Priority Mail.

Invoice Amount

Shipping
Charges

under $30.00

$3.50

$30.01 - $60.00

$4.50

$60.01 - $100.00

$7.00

$100.01 - $150.00

$10.00

$150.01 - 200.00

$18.00

$200.01 - $250.00

$22.00

over $250.01

$26.50

Express (next day air)

add $8.00

Texas residents will not be required to pay sales tax IF YOU ENCLOSE A COPY OF YOUR Texas State resale tax number for our files.

All material, designs and content of this web site are � copyright of Pat Gibson for "Serenity by Design" and may not be copied unless indicated as "free to copy" or otherwise credited to other services as indicated by links to graphic sites.

If you have any questions, comments or feedback feel free to contact:

Pat Gibson - webmaster at: gibsonspi@sprynet.com