PRINT Sales Order Form

 

Please print and sign the following documents and fax it to us at (714) 540-5668.

 

Fill out this order form carefully and fax it to us with your credit card form.
Ordered by:
Street address:
 
City: State: Zip code:
Phone #:

 

Ship to:
Street address:
City: State: Zip code:
Phone #:
 
Style
Quantity
Description
Color

Price each

Total
           
           
           
           
           
           
California residents will be charged a 7.75 % sales tax.
Add the shipping and handling charges as shown below.
Sub total:
  
Sales tax (If applicable):
  
Freight:
  
Grand Total:
  
Shipping and handling charges
All orders are shipped USPS/ UPS ground
Rush and Saturday delivery available
Up to $ 50.00 add $10.00
$51.00 to $100.00 add $14.00
$101.00 to 200.00 add $20.00
$201.00 and over cost are per UPS
COD customers add $ 6.00 per carton
Rush orders are per UPS special charges


Time of Delivery
Our unique product line is made to order so please keep in mind that if item is not in stock we need 6 to 8 weeks.
Stock items; we will try to ship out the merchandise within 5 to 7 business days after the order is received. UPS/USPS ground normally takes about 3-7 business

 

 

 

Credit Card Information:


 Name:__________________________________________________________________

Signed by: _____________________________ 

Title:________________________________ 

Phone number: ______________________________

E-Mail: ____________________________________

Authorized Signature 

Print Name:_____________________________ Date: ______________________


Sergios Collection
3410 W. MacArthur Blvd. # F - Santa Ana, CA - 92704 - U.S.A
Tel: (714) 540 5222 - Fax: (714) 540-5668

CREDIT CARDHOLDER AUTHORIZATION FORM
(For payment on orders via credit card or COD. We will charge this authorization for COD only if the payment is not received.)


Date: _______________

I, ______________________________________________ 
authorize Sergios Collection, (Name of cardholder as it appears on the credit card)

to charge _______________/_______________________________ /________________

(credit card name) (credit card number) 
(expiration date)

for purchases placed with Sergios Collection. 

Note:

1.. Please provide the address that matches with the credit card monthly statement below. 
2.. Please provide the three or four digits CVV code listed on the back of your credit card. 
3.. Sign and fax this form along with a copy of your driver license to (714) 540-5668. 

800 Customer service # _________________________

Billing Address: ___________________________________________________

City ________________ State: ________ Zip: _____________


CVV code _____ (3 digits for Visa or Master Card in the back of the card, 4 digits for 
American Express in the front of the card)

By signing below, I authorize Sergios Collection to charge my credit card for payment for my purchases.

__________________________

Signature of Cardholder___________________________

Printed Name_______________________

Date _______________________

 

 

PRINT Sales Order Form