The Bass Rosin Store

Houston, Texas ~ USA
Phone: 832.549.2881
Email: bassrosin@gmail.com

On-Line Order Form

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

STEP 1: Copy This Complete Form, Paste It Into an Email,
               Then In That Email, Enter Your Information
********************************************************
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 made with _________

ADDITIONAL MESSAGE:



********************************************************************************
STEP 2: Make Payment of Total Balance with either (a) or (b)

(a) To pay within the USA with Zelle, send Balance to 8325492881
(b) 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: Please use Family and Friends, if possible.


STEP 3: After making Payment, Email the Completed Form to bassrosin@gmail.com
               Confirmation of Order and Payment will be emailed
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
*Required Information
See Additional Ordering Information for REFUNDS / RETURNS / EXCHANGES

Additional Ordering Information

Return to Home

c) 2024 Copyright by The Bass Rosin Store