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Au-Rus Wax Pattern Online Order Form

302Main St.

Kellogg Id. 83837

E-mail:
E-Mail Us
We accept Visa and MasterCard and Now PayPal.
Pay Order with PayPal



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Wax Pattern Order Form

This is our Standard Order Form and it's compatible with most browsers.

Please complete all relevant areas and elaborate fully where necessary. Thanks!




       Shipping to Name: 
   Company/Organization: 
                Address: 
         P.O. Box/Apt.#: 
                   City: 
         State/Province:     Zip/Postal Code: 
                Country: 

We must know who to contact if there is question regarding your order,
and where to send e-mail confirmation of your order...

    Ordered By Required: 
  Daytime Telephone Required: 

             Fax Number: 
E-mail Address REquired: 

Required E-Mail Sample

Your "userid@your server"

(We never transfer your e-mail address to anyone else!)

IF YOUR ORDER IS LARGER THAN THIS ORDER FORM SEND IN MULTIPLE FORMS

Items Ordered...Fill in all needed information for each item ordered.

  Wax Item#  | Qnty| Page #  |Describtion (ring,pendant,braclet, ect.)   | Cost

        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        
        


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Cost Total: Enter Shipping Cost (See Shipping Info): Total For Order:
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Payment Method...
Credit Card Check or Money Order

Credit Card Information...
Please Select Card Type:

This site is not a secure ordering area yet. Call us VIA phone with your card number if you prefer.


Card Holder's Name As It Appears on Card:
Card Number:
Expiration Date (any format):
CVC (From The Back of Credit Card): What is CVC
We require the Credit Card Billing Address. Just check here if same as 'Ship To' address:
The address where your credit card company sends statements...

Any other instructions or info? Comments? Questions?...

If you wish to pay with Paypal it is a two step process.

Submit the order first then click on the PayPal Logo below and pay with Paypal.

After submitting your order, your screen should receive the message "Your form has been submitted. Thank you!" If you don't receive the message and there's no explanation, please contact us.



Pay For Order With PayPal

We will ship Your order as soon as we recieve notice from PayPal of your payment.


Pay Order with PayPal

Enter Wax Pattern Order Payment Amount Here

Link to PayPal Secure Payment Website


Important Ordering InformationPointing Hand

* If your order is larger than this order form will accomodate send us several order forms.

* Make sure to total cost when ordering more than one of any item.

* Call 208-786-9301 if faster delivery is preferred.

* To reduce waste we occasionally reuse shipping boxes - your order may arrive in a "recycled" carton.

~ Thank You! ~

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Phone: 208-786-9301
E-mail: E_MAIL US || Web: Home Page
Au-Rus Wax Patterns/Sass Jewelry / 302 Main st. / Kellogg , Id. 83837


How To Order

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