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Please provide us with the following information so we may process your order promptly. If any items are missing, we may not be able to process your order. Please ensure your email address or phone number is correct, as this is how we will notify you if any problems occur while processing your order.
When you have finished, please click the 'Continue' button to continue submitting your online order on our secure order form OR print this form and fax or mail it to Beaujean with your payment option.
ALL SALES ARE FINAL
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I would like to order:
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Plan No. 100 ($525.00 - includes shipping & handling)
A 7.8% sales tax will apply to WA Residents
An additional charge will apply to rush orders
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Contact Information
Please ensure this information is correct. We have no other method of notifying you in case of order problems.
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Name:
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Email:
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Phone:(s)
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Your phone numbers will ONLY be used to expedite your order in the case of a numerical or clerical error, and will NOT be released to a third party
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Billing Information
If paying by credit card, then your billing name should match the name on the credit card and your billing address should match your credit card's billing address.
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First Name:
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Last Name:
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Street Address line 1:
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Street Address line 2:
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City:
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State (US only):
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or Providence:
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Postal Code:
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Country:
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Payment Options: (only if mailing or faxing order in)
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CHECK
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CREDIT CARD:
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MASTERCARD VISA AMERICAN EXPRESS DISCOVER
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CARD NUMBER
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EXPIRATION DATE
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AUTHORIZED SIGNATURE (please enter your name exactly as it appears on your card):
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Shipping Information
Shipping Method:
Please ship this order to the billing address.
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Or ship to:
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Name:
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Street Address line 1:
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Street Address line 2:
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City:
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State (US only):
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or Providence:
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Postal Code:
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Country:
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Once you have completed your information, please print this form and either fax or mail it to BEAUJEAN. You should receive your Stock House Plan(s) within one week of our receipt of your order. Please remember, ALL SALES ARE FINAL.
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Contact Information:
Beaujean, Po Box 531, Clearlake, Wa. 98235
Phone: (888) 240-7896 Fax: (360) 856-4934
Questions? Please e-mail: beaujean@tnjresource.com
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