Order
by Fax or Mail
To order by
fax or mail, simply print this form, print or type the
information requested, and then fax it to (414) 351-0311
or mail it to Crestwood Communication Aids, Inc.; 6589 N.
Crestwood Drive; Milwaukee, WI 53209; USA.
Thank
you for your order!
To continue
exploring our web site after you have printed the form,
either hit the "back" button on your browser or scroll
down to the bottom of this page and click on any link to
go directly to another section of the
site.
1.
SHIP TO: (You must use a street address -- and not a
P.O. Box No. --
for UPS delivery)
Name
________________________________________________________
Institution
_____________________________________________________
Address
______________________________________________________
City
__________________________________________________________
State/Province
___________________________ Zip
__________________
Country
_______________________________________________________
All orders
must include phone number
(
_____
) ____________________________________________________
Fax number (
_____ )
____________________________________________
When is the
best time for us to call you - from 9 a.m. to 5 p.m.
Central Standard Time - if there are any questions?
_________________________________________
2.
REMINDERS: FED.
I.D. NO. 39-0759578
4.
PHONE (414) 351-0311 or FAX (414) 351-0311 TO SPEED YOUR
ORDER.
5.
PAYMENT METHOD ($25.00
Minimum Merchandise
Order):
___ Check or
money order enclosed. Make check payable to Ruth B.
Leff. (NOTE: Telecheck charges fees for returned
checks.) Add delivery charges.
Check here
___ I have read the reminders above and the
return policy below.
6.
RETURN POLICY:
