Mail or Fax Form

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Ship to City: Ship to State: Ship to Zip Code:

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Item	Quantity	Description & Personalization if required	Unit Price	Total





		SubTotal:
		Shipping Charge (same as website shipping)
		Tax (only applies to PA ship to address) 6%
		Total Amount Due:

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Personal Check (7 business delay before shipping) Money Order Certified Check Credit Card

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Card Expiration Date: Name on Card: CVV2 Number*

Signature:

*CVV2 number is the last 3 digits on the back at signature line. For American Express 4 digits on front of card.

Mail Form to:

House to Home Ideas

124 Joan Drive

Collegeville, PA 19426

Fax Credit Card Payment to:

610-409-8157