The ConfedaLot

U.S. Mail Order Form


* Please Print Clearly , We Need To Understand Everything You Print... DONOT print Fancy !

* As of January 1, 2011 We No Longer Accept Personal CHECKS.

* We Accept All types of Money Orders (Only) as Mail Order Payments,Be Sure To Sign Your Money Order.


Your Name :_______________________________________________

Your Address :_________________________________________________

Your Phone _____ _______________________

Your City :_____________________ State____________________________ Zip Code____________

Your Email address________________________________ @ _________________________________

( we require your email address ( above ) in case we need to notify you about this order Only * We donot sell, exchange or disclose this info . )

Enclosed my : Money Order_______ "Sorry" No C. O. D.s , Checks, or Credit Card Payment Info

Do You Want This Shipped To A Different Name or Ship Address other than listed above , as a Gift etc ?  ( circle )  Yes    No


Ship To Name ________________________________________________

Ship To Address ______________________________________________

Ship To City :_____________________ State____________________________ Zip Code____________

Do You Want a Special Note Sent To The Ship To Recipient Enclosed With This Shipment ? ( circle ) Yes    No  : $2. 00 Extra Charge ( add in below ) .
If you want the $ 2.00 special note card option , we type or print up the note card real fancy style , will look good !!!

What do you want this special note to say ?  ( print clearly , no foul , abusive or X rated language please ) .
If you need more space than provided , put it on a seperate sheet of paper .
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If Referred To Us - By Whom ? ( Print ) : First Name ___________________________ Last Name ________________________

Comments or Special Instructions To Us , More  space is down below if needed : ________________________________________
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Item # ________________________Item Name _________________________________________Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name_________________________________________Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name_________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name_________________________________________Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

Item # ________________________Item Name________________________________________ Qty_____ Size___ Color______
Price each________ Total__________

******************************************************************* 1st Subtotal__________

**********************************************************************S / H__________

***************************************************** Special Ship To Note Fee ___________ ( only if applicable ).

******************************************************************* 2nd Subtotal__________

****************************************************************Final Total____________ ( $$ amount you mail to us ).

* If You Need Assistance Contact Us at  : customersupport@confedalot.com

Purchase
Amount		 Add to
Subtotal		 Purchase
Amount		 Add to
Subtotal
Updated Ship Rates
-----------------------------
Shipping & Handling
Information		 $0.01 to $19.99 $8.95 $200.00 to $399.99 $29.95
$20.00 to $49.99 $10.95 $400.00 to $599.99 $41.95
$50.00 to $99.99
 $15.95 $600.00 to $799.99 $54.95
$100.00 to $199.99 $19.95 Over $800.00 $69.99


* Our Reminders To You *
* Have you double checked your math and Final total calculations and are they correct ?
* Have you added in Your Correct Ship Rate Charge From The Ship Chart Above  ?
* Did You Enclose a Personal Check ?, If So STOP ... Get a Money Order !
* If you selected the shipping special note card option have you added in your $2.00 special note card fee ?  
* If your item(s) have a size, Did you include the size for each ?
 
Please Note :
This is our special  Mail order acceptance address .
You cannot buy merchandise or shop at this below Location.
 
Make your Money Order Payable to :
The ConfedaLot Company
and Mail To :

The ConfedaLot Company
3001 Manhattan Ave. Suite 19
Baltimore, Maryland 21215

  



________________________________THANK YOU !________________________________

Comments or Special Instructions to us :

_________________________________________________________________

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