On-Line Order Form




PLEASE NOTE LIMITS PER ORDER
1st Class Mail --- Maximum up to 6 cakes
Priority Mail --- Maximum up to 8 cakes


To Order Pops' Bass Rosin, follow steps below:

(1) Copy and paste the form below into your email.
(2) Add all requested information to the form.
(3) Email completed form to bassrosin@gmail.com

Confirmation and Invoice for Payment
will be sent to complete the Order.

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THE BASS ROSIN STORE ORDER FORM

PURCHASER:*
Email Address:*
Day Phone Number:*

NUMBER of CAKES:*

MAILING ADDRESS:
Name:*
Address 1:*
Address 2:*
Address 3:*
City:*
State/Province or N/A*:
Postal Code:*
Country:*

Check if Mailing Address is Correct _____

MAILING/HANDLING: (Check One)

1ST CLASS USPS MAILING -- Limit 6 cakes per order
_____ FREE USPS 1st Class Mail within United States
_____ Add $15.00 for USPS 1st Class Mail to Canada
_____ Add $20.00 for USPS 1st Class International Mail outside USA/Canada

PRIORITY USPS MAILING -- Limit 8 cakes per order
_____ Add $10.00 for USPS Priority Mail within United States
_____ Add $30.00 for USPS Priority Mail to Canada
_____ Add $50.00 for USPS International Priority Mail outside USA/Canada

BALANCE and PAYMENT METHOD:
(1) Number of cakes x $20.00 ........ $ _______
(2) Mailing/Handling Fee ............... $ _______
(3) TOTAL BALANCE ..................$ _______

PAYMENT OF TOTAL BALANCE MADE WITH _____________________

To pay within the USA with Zelle, send Balance to 8325492881
To pay with PayPal / Credit or Debit Card / Bank Account:

Click on Personal link, then Send link. Follow instructions to send Total Balance to johnctucker@sbcglobal.net
Note: Feel free to use Family and Friends, if you wish.

ADDITIONAL MESSAGE:


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*Required Information
See Order Information Page for REFUNDS / RETURNS / EXCHANGES

c) 2024 Copyright by The Bass Rosin Store