ph: 800.362.6245
fax: 248.347.7734 web: theindustrysource.com
FALL 2010 CUSTOMER NUMBER r Check if new
Customer Service: 9:00 am – 6:00 pm EST Monday – Friday
PROFESSIONAL LICENSE #
(Required for new customers.) __________________________________________________________________
Shipping Address (We cannot ship via UPS or FedEx to PO Box addresses.)
Billing Address (If different than shipping address.) (Required for credit card payment.)
Name (Please print) ___________________________________________________________________
Name (Please print) ___________________________________________________________________
Salon Name __________________________________________________________________________
Salon Name __________________________________________________________________________
Address ______________________________________________________________________________
Address ______________________________________________________________________________
City __________________________________________ State___________ Zip___________________
City __________________________________________ State___________ Zip___________________
(AZ, CA, FL, GA, IL, NY, OH & WA residents County __________________________________________________________________________ must include for order processing)
Business Phone (_______)___________________ Cell Phone (_______)____________________
E-mail _______________________________________________________________________________________
Home Phone (_______)______________________ E-mail ________________________________
Method of Payment Debit or Credit Card Number
r CHECK/MonEy ordEr enclosed* CVV2___________________
(We do not accept second party credit cards.)
Exp. Date
Visa, MasterCard & Discover cards: Last 3 digits included in the nonembossed number on the back of card. AMEX: 4 digits shown as non-embossed number on front of card.
–
Signature ____________________________________________________________________________ Name as it appears on card (please print) ______________________________________________
ITEM#
QTY.
UNIT EA. PAGE #
Date_____________________
NOTE: Starter checks cannot be accepted.
*your check authorizes us either to make a one-time electronic funds transfer (aCH) from your account or process as a check. an aCH may be withdrawn from your account the same day your order and check are received. your check will not be returned to you. If payment is returned unpaid you authorized us to collect an additional $25 fee.
r dISCovEr r vISa
PRODUCT NAME/DESCRIPTION
r MaStErCard r aMEX
UNIT PRICE
TOTAL PRICE
Shipping RATeS totaL ItEM(S)
Up to $98.99
$99.00 or more
GroUnd**
$7.50 $10.00
!
Get free shipping when you join Nailco Gold. See page 2 for details.
inSuRAnCe FeeS totaL ItEM(S) $99.99 and under $100.00 – $199.99 $200.00 – $299.99 $300.00 – $399.99 $400.00 – $499.99 $500.00 and over
InSUranCE FEES NONE $1.75 $2.25 $2.75 $3.25 1/2% of total order value
Residential Charge: A $3.00 charge will be added for non-commercial delivery by shipping carrier. No charge on orders that qualify for FREE Nailco Gold shipping. Shipping fees exclude freight deliveries. Actual freight applicable on any discounted order. **Contiguous U.S. only. Orders to AK, HI, U.S. possessions and international will have actual freight applied. APO, FPO & P.O. Box are sent U.S. Postal Service Priority Mail. Rates quoted based on order weight and contents. Hazardous materials cannot be sent to an APO or FPO address. Insurance: Orders are shipped 100% insured by The Industry Source. Call 1-800-362-6245 for air rates.
= Sales
Subtotal
Tax:
Please add applicable sales tax on all merchandise delivered within: • Arizona • California • Florida • Georgia • Illinois • Michigan • New York • Ohio • Washington
Shipping Fee (See chart)
Tax exempt status applies only to retail products. Sales Tax Resale Certificate must be on file to waive sales tax on retail items. It is the responsibility of the California customer to report and pay district taxes associated with products delivered outside of Los Angeles County.
$
(Add additional $3.00 for residential shipping.)
$
Insurance Fee (See chart)
$
Sales Tax=
(AZ, CA, FL, GA, IL, MI, NY, OH & WA)
$
Total Amount Due
$
Mail Your Completed Order Form To: The Industry Source Attn: Customer Service 23200 Haggerty Road Farmington Hills, MI 48335-2611 Thank you for your order. We appreciate your business!
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order form
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