SylviaBrowne.com Mail Order Form
02/04/2012
This form is only for mailing in checks or money orders, please click
here
to setup online shopping account. Please fill out the form then print it out by clicking the print button at the bottom of this form and mail to us:
Customer Information
Name:
E-Mail:
Payment Information
Payment Method:
Money Order
Check
Credit Card
Credit Card Information
Card Type:
American Express
Discover
Mastercard
Visa
Name on Card:
CC Number:
Expiration:
-
(MM - YYYY)
Shipping Address
(orders ship to P.O. Box - Regular Shipping only)
Street:
City:
State/Province:
Country:
ZIP/Postal Code:
Phone Number:
Billing Address
Same as Shipping Address
Street:
City:
State/Province:
Country:
ZIP/Postal Code:
Phone Number:
Order Information
To add an item to your order, simply type the item number into the box below and click "Add Item".
Add Item
Signature:
Date:
February 4, 2012
If paying by Check or Money Order, make Checks or Money Orders payable to:
Sylvia Browne Online
Money Orders may take up to 5-7 business days to process after we have received your order. The money order or check needs to be cashed first and cleared before your order is placed.
Comments:
Please fill out the form, print it out, sign it and then mail or fax it back to us at:
Sylvia Browne Online
PO BOX 251291 Los Angeles, CA 90025-9791
Fax: (408) 379-8129
If you require assistance with filling out this form, please call one of our representatives at (408) 379-7070 and let us help you.
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