PLEASE TYPE OR PRINT NEATLY IN BLOCK CAPITALS
Billing Address:
Name _________________________________________________________________
Address ______________________________________________________________
______________________________________________________________________
City/town ____________________________________________________________
Province/state _______________________Post/zip code __________________
Country ______________________________________________________________
Daytime phone number _________________________________________________
FAX number ___________________________________________________________
E-mail address _______________________________________________________
Shipping Address: (if it's different from your billing address)
Name _________________________________________________________________
Address ______________________________________________________________
______________________________________________________________________
City/town ____________________________________________________________
Province/state _______________________Post/zip code __________________
Country ______________________________________________________________
Payment: [ ] Credit Card [ ] Debit Card
[ ] Cheque [ ] Money Order
[ ] No shipping: Pick up the product from our store in Portland OR.
[ ] Notify me by e-mail when new products are released.
Select the products you wish to order
HUDNUT PRODUCTS
Product Code - Price - S&H
Sample:
[ ] MIN 01 - $22.00 - $5.00
_______________________________________________________________________
Shipping and handling (Please add shipping & handling fee)
TOTAL (ALL PRICES ARE IN US DOLLARS) _____________
_______________________________________________________________________
Payment by Mastercard, American Express or Visa card:
We can only accept American Express, Mastercard or Visa cards (no
Discover cards, please.) We will need the following information:
Credit card number: ___________________________________________________
Expiry date:___________________________________________________________
The name as it appears on the card: ___________________________________
The signature of its owner authorizing us
to debit it for the amount indicated above: ___________________________
We are unable to accept credit card orders without the signature of the
card holder.
_______________________________________________________________________
Mail this form to:
Hudnut Company Inc.
730 NE 21st. Avenue,
Portland OR 97232.
If you're paying by credit card, you can FAX it to 1-503-233-0705.
FINE PRINT: Orders are processed immediately and cannot be modified or
cancelled after they are submitted. Products ordered may not be returned
for a refund or exchanged.
If you request shipping, your order will be shipped by FedEx.