Classic Country Comforts Offline Order Form 9116 E. Sprague Ave., Suite 296 • Spokane WA 99206 • 1-888-228-9970

Use your browser's Print command to print a hard copy of this worksheet. You can fill out the form prior to telephoning an order, or use as a mail or fax order form.

Name _________________________________________________________________
Address _______________________________________________________________
______________________________________________________________________
City _________________________ State __________ Zip ________ Country________

Phone (____) ____ - __________ Email: ____________________________________

Ship to Name (if different) _______________________________________________
Address _______________________________________________________________
______________________________________________________________________
City _________________________ State _________ Zip ________ Country _________

Ship To Phone (____) ____ - __________ (Please provide for expedited delivery)

Qty	Item No.	Size	Color	Description	Price Ea.	Total Price
__	_______	____	_____	_____________________	_______	_________
__	_______	____	_____	_____________________	_______	_________
__	_______	____	_____	_____________________	_______	_________
__	_______	____	_____	_____________________	_______	_________
				Merchandise Total:		__________
				Handling:		5.00
				Additional Shipping *		_________
				8.4% WA Sales Tax **		_________
					TOTAL	_________

* Additional shipping is required for International and expedited shipments.
** For deliveries within Washington State add 8.4% sales tax.

Method of Payment: Check/Money Order (payable to Classic Country Comforts, in U.S. funds)
Visa - MasterCard - Discover Card
Credit Card Number __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Exp Date __ / __
Your Name, as shown on credit card__________________________________________
Billing Address _________________________________________________________
Signature ___________________________________________

Telephone, fax or mail your completed order to:

Classic Country Comforts
9116 E Sprague Ave., Suite 296
Spokane, WA 99206
USA
1-888-228-9970 • Fax: 1-509-228-9971
(509)-228-9970