MazalTovPages.Com   
    Secure Gift Basket Order Form
  Please fill this form out completely & click the "Submit Form" button, or print it out
     and mail/fax it to us with your check, money order or credit card information to:
 If mailing the order form in, please mail C/O the following (**this is for mail and shipping purposes only and is not our retail store address - if you would like to see us, our
products and services in person, please call us for an appointment: (954) 894-8775 or e-mail us: info@MazalTovPages.com):  

MazalTovPages.Com, Inc.
4860 Sheridan St.
Hollywood, Fl. 33021
Tel: (954) 894-8775
 Fax: (954) 416-6684
E-mail: Info@MazalTovPages.com
Monday - Friday 10:00 A.M. - 5:00 P.M. (Eastern)
 Join Us on Facebook!
Chat Live with us (MTP) on AIM, Our Screen Name: MazalTovPages

You may phone or fax your order in to the above numbers.
We will begin work on processing your order as soon as we receive this form. For more information, please contact us and we'll respond promptly.

Personal Information

**(Personal Information will be used for billing. Please enter the Ship To address at the bottom of this form.)
*If you find the form below complicated or you don't want to fill it out, you are welcome to e-mail us your order. (**Make sure to provide us with your name, billing & shipping address, telephone/fax #'s, the item(s) that you want to purchase, qty, cat. #, desciption, i.e.: size, color, price, personalization text - if applicable, as well as any special instructions that you may have, and then we will call you to obtain your credit card information, if you will not include it in our secure e-mail system).

All fields noted with an ( * ) must be filled in.

Name:*  
Company:   
Address:*  
City:*

 
We accept American Express, Visa, Mastercard, Discover and Pay Pal. If you have a Pay Pal account simply go to www.PayPal.com and send funds for the amount of your order to our email address: orders@mazaltovpages.com
State:*
Zip Code:*
Country:*
(Required for outside of U.S.)
Tel:*
Bus. Tel: 
Fax:  
E-mail:*
Credit Card:*
      Please Check One:
  (If not paying by check)
Visa Master Card
Amex  Discover
Credit Card #:*
Exp. Date:*
C/C Security Code#:* *Please type in the last three digits of your credit card verification security code # located in the back of your (Visa, Master Card, or Discover) credit/debit card, in the provided box below: (Amex accounts; please type in the last four digits above your credit account # on your card):
  

Online Signature:*

 By typing your name in the "Online Signature" below, and clicking the "Submit Form" button on bottom of this form, you hereby agree to the Terms and Conditions of MazalTovPages.com Merchant Policy and hereby authorize the credit card payment for the merchandise ordered.
 
How did you    
hear about us?  
      Please Check:
Friend/Business E-mail Radio
Flyer/Mail Ad Search Engine
Other, please specify in box below
  



Name: 

E-mail:  
If you checked the box above for a friend, please provide us with his/her name and
e-mail so that we can send a thank you.
 
*Would you like to add a beautiful Judaic Artistic Gift Greeting Card made in Israel ($2.75 per card)? Yes No
 Wedding   Anniversary     Bar / Bat Mitzvah      Special Occasion (*Card will say: "Mazal Tov")    New Home   
New Baby (Specify Boy or Girl in message box below)  Holiday (Specify in message box below)    Other (Specify in message box below)
**Please make sure to include your specific card text in the message box below (Kindly Scroll Down).
Simply add GIFT CARD for the Item No., Description & Price in the order information table below (Kindly Scroll Down).

Order Information

Quantity
Item No.
Description
Price @
Total
Merchandise Total
Shipping & Handling
(Please see the chart below)
Add 6% Sales Tax
Total


Shipping & Handling Table

Order Amount
Shipping Charge (Ground)
Small Basket (UPS Ground)
Add $11.00
Medium Basket (UPS Ground)
Add $12.00
Large Basket (UPS Ground)
Add $13.00
Extra Large Basket (UPS Ground)
Add $14.00
Three Day Air Express Add an extra $6.00 to all the UPS Ground S&H fees listed above.
Two Day Air Express Add an extra $12.00 to all the UPS Ground S&H fees listed above.
Overnight Air Express Add an extra $23.00 to all the UPS Ground S&H fees listed above.
*Please note: The above table is used for an approximate UPS Ground S&H fee range and is just an estimate with a + or - variable for the U.S. only, (excluding Puerto Rico, Virgin Islands, Alaska & Hawaii). If the actual S&H cost will be excessively over the amount given in the table above due to weight or location, the difference will be charged to your credit account.

Please fill in a message below (optional).
(You may also include any specific card message instructions in this box.)
    Gift Card message can be 40 characters maximum.
**Please be considerate, keep your message text short and to a minimum.

If this is a gift, please check one of the following:

 Wedding   Anniversary     Bar / Bat Mitzvah      Special Occasion    
New Baby    New Home    Holiday     Other

*Please ship my purchase to:
Name: 
Address 1:
Address 2:
 City: 
State: 
Zip:
Tel:
Bus. Tel:

*If you find the form above complicated or you don't want to fill it out, you are welcome to e-mail us your order. (**Make sure to provide us with your name, billing & shipping address, telephone/fax #'s, the item(s) that you want to purchase, qty, cat. #, desciption, i.e.: size, color, price, personalization text - if applicable, as well as any special instructions that you may have, and then we will call you to obtain your credit card information, if you will not include it in our secure e-mail system).

*No returns on printed, perishable, personalized, customized or special order items.

Full payment required with your order.

*If we are unclear on any specifics of your order, we will contact you. Otherwise, we will promptly begin working on your order.

Thank you for using our service!

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