Ordering Sheet

Phone 334-929-1427
Fax 334-929-1428


	We Accept


	Print This sheet out and Fax or Mail In. You May also print it out for help with ordering over the phone,

Billing Information
First, Last Name
Address - no PO Boxes pls
City
State

Shipping Information (If to a different Location)
First, Last Name
Address - no PO Boxes pls
City
State


	_____ I hearby authorize The Nest to charge my Credit card for these purchases initial here .

If Billing To A Credit Card
Credit Card Type	Visa Mastercard American Express Discover
Card Number
Expiration
Name As it Appears on Card

Item Description- include website section it appears in	Qty	Color	Engraving	Gift Wrap?	Cost









SubTotal
Shipping
If you live in the state of Alabama we must charge a sales taxTax -


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