| Your Shipment and Credit Card
Billing Information |
| Your Name: |
%%%fname%%% %%%lname%%% |
| Company: |
%%%company%%% |
| Street: |
%%%street%%% |
| Street: |
%%%street2%%% |
| Town, State, Zip: |
%%%city%%% %%%state%%%
%%%zip%%% |
| Country: |
%%%country%%% |
| Address Type:: |
%%%address_type%%% |
| Home Phone: |
%%%area_home%%% %%%phone_home%%% |
| Delivery/Work Phone: |
%%%area_ship%%%-%%%home_ship%%% |
| Signature Delivery Proof: |
%%%delivery_proof%%% |
| Your e-mail: |
%%%mpfh_emailfrom%%% |
| |
|
| Details of your
Gift Mugs
Order |
| Mugs Ordered: |
%%%mug_quantity%%% |
| Mug Size: |
%%%mug_size%%% |
| Inside Colored Mugs: |
%%%colored_mugs%%% |
| Rim & Handle Color: |
%%%rim_handle_color%%% |
| Placement of Mug Handle: |
%%%mug_handle%%% |
| Decoration size: |
%%%deco_size%%% |
| Decoration Nr.: |
%%%decoration_nr%%% |
| Decoration Name: |
%%%mug_deco_name%%% |
| More than one Design: |
%%%more_designs%%% |
| Shipment Tracking: |
%%%track%%% |
| Insurance: |
%%%insurance%%% |
| Invoice with Order: |
%%%invoice%%% |
| |
|
| Font selected: |
%%%font_nr%%% |
| Font Color: |
%%%font_color%%% |
|
Fancy Lettering? |
%%%Fancy_lettering%%% |
|
Fancy Lettering Font: |
%%%Fancy_font%%% |
|
Fancy Lettering Code: |
%%%Fancy_decor%%% |
|
Fancy Lettering Text: |
%%%Fancy_lettering_text%%% |
| |
|
| Custom Text,
if any: |
%%%custom01%%% |
| |
%%%custom02%%% |
| |
%%%custom03%%% |
| |
%%%custom04%%% |
| |
%%%custom05%%% |
| Customer's Digital File: |
%%%customer_file_name%%%.%%%file_extension%%% |
| |
|
| For Gift
Mugs shipped to a different address/country |
| Is this a gift: |
%%%is_a_gift%%% |
| Gift Recipient's Address: |
%%%other_address_01%%% |
| |
%%%other_address_02%%% |
| |
%%%other_address_03%%% |
| |
%%%other_address_04%%% |
| |
%%%other_address_05%%% |
| |
%%%other_address_06%%% |
| |
%%%gift_country%%% |
| Recipient's Phone: |
%%%gift_area_code%%% %%%gift_phone_number%%% |
| |
|
| Other Options |
| Greeting Card: |
%%%greetings%%% |
| Greeting Card Text: |
%%%greeting_text%%% |
| White, neutral Gift Boxes: |
%%%white_boxes%%% |
| Box type: |
%%%gift_box_size%%% |
| Sample Mug: |
%%%sample_mug%%% |
| Your FedEx Account: |
%%%fedex%%% %%%customer_fedex_nr%%% |
| Other Shipment Options: |
%%%fedex_options%%% |
| |
|
| Your Payment Preferences |
| Payment Method: |
%%%credit_card%%% |
| Last digits
of Credit Card: |
%%%card_4%%% |
| Credit Card ID Number: |
%%%card_id%%% |
| Credit Card Exp. Date: |
%%%expiration%%% |
| Other Payment Options: |
%%%paypal%%% |
| |
|
| Observations: |
%%%observations%%% |
| Comments: |
%%%comments%%% |
| |
|
| Your Order Confirmation |
| Confirmation e-mail: |
%%%emailagain%%% |
| Your Signature: |
%%%signature%%% |
| |
|
