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Date Received:
Creative Junction
MAIL ORDER FORM

Items with * is required information.

BILLING ADDRESS

*Date: 

*Name:

Mail Form To:

*Company Name: Creative Junction
*Street Address: c/o  C. Morgan
Apt# or P.O. Box: P.O. Box 57
*City: Kunia, HI  96759
*State:                                         *Zip Code: PH: (530) 884-5223  Fax: (208) 728-2242
*Area Code:   (     )  Phone Number: __________________
*Email Address: __________________________________
Make Check or Money Order Payable to:
Christina T. Morgan
 
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Hawaii Residence please add 4.166% Sales Tax. 

  [ ]I have chosen EZ Pay, please bill me for balance of my Web Design Package.  Web Design Extras full payment is included in my initial payment.    I understand that my complete site and contents will not be uploaded to the internet until my complete payment has been received and my check has cleared.   Please Initial ___________
Subtotal          .
Handling Charge          5.00
4.166%  Sales Tax          .
Total Amount Due          .
less EZ Pay Amount          .
Balance Due          .
Customer Comments and Special Instructions
 ____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
 _____________________________________________________________________________________________________
*Method of Payment (choose one)
**Credit Card: [ ] Mastercard  [ ] Visa  [ ] Check  [ ] Money Order
   Check Number:                          Account Number:
   Transit Number:
   Routing Number:
**Credit Card Transactions - If paying by credit card, you will be sent a payment request via Pay Pal through the email address that you have entered on this mail order form.
 

________________________________________
*Your Signature

confirms acceptance of terms of service
Bank Information
Bank Name: _____________________________
Address:  ______________________________
City: ________________ State: ______ Zip _______
Bank Phone: Area Code (   ) ____________________

 

Special Instructions:  Please send email to webmaster@creativejunction.zzn.com to notify us that you are sending your mail order form.  We will then create a folder for you and send you a link to get you started on your Web Design Options.  If you have any questions regarding the status of your Web Design Package, please go to:  http://creativjunction.iwebland.com/cj.contact.htm and choose the email option for the appropriate category of your inquiry or send a message to customerservice@creativejunction.zzn.com and we will answer you inquiry within 48 hours.

Please note:  Personal Checks will take 7 business days to clear.  It is imperative that you enter you Bank Phone Number to expedite your order process.  You will be notified by email once your bank confirms availability of funds.

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