Time For Her  Order Form
Please complete all fields on the form.  You may mail, email, or fax your order form to: 1- 816-436-5880

 

Name

CC Billing address

Address (cont.)

City

 State/Prov

Zip/Postal code

        Country

Work Phone

 Home Phone

E-mail

    Fax

Please provide the following ordering information:
Reference # Watch Description
US $
US $
US $
US $
Sub   $ 
Ship  $      *Shipping Fees*
Tax   $    Missouri residents add 7.2% sales tax
Total $
BILLING Information

Credit card/Other

Cardholder name

Card number

 Exp

Bank Card Issuer 

Bank Card Telephone #

Signature
SHIP ITEM  TO:

Street address

Address (cont.)

City

State/Province

Zip/Postal code

 Country

Special Info:

  

PLEASE PRINT THIS FORM AND FAX TO: 1-816-436-5880    INTERNATIONAL COUNTRY CALLING CODES

Questions or Problems: Please call 1-816-420-9085 or e-mail  info@timeforher.com
THANK YOU!!

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  Time For Her.com
5510 NE Antioch Rd. - Kansas City, MO 64119
Toll Free 1-877-856-1173
John Putnam & Associates - Member NAWCC #0138626