Fax Order : Corporate Gift Box Basket Idea : Mayhaw Jelly : In Shell Pecans : PeytonsPecans.com

Fax Order Form

To place your order by fax, please highlight and print the following form. Fill in the information for each gift recipient and fax it to us at (229) 336-2913. If all items will be shipped to you, just fill in the first box with no card message. Shipping and sales tax (if applicable) will be added to your item totals. Your sales receipt will be emailed to you after your order is processed.

Customer Name ____________________________ Credit Card ___________________________

Address _________________________________ # ____________________________________

________________________________________ Exp __________________________________

Phone __________________________ Email __________________________________

Requested delivery date: __________________

Recipient 1	Item #s	Enclosure Card Message
Address:

Phone:

Recipient 2	Item #s	Enclosure Card Message
Address:

Phone:

Recipient 3	Item #s	Enclosure Card Message
Address:

Phone:

We will make all efforts to have your gifts shipped to you as soon as possible. We use UPS Ground shipping on all orders unless otherwise specified. We hope you are satisfied with your products. Thanks for shopping at Peyton's Pecans!