Order Form
(To Be Mailed)

We prefer you to order using a credit card via our secure system on our Retail Prices page . If you do not wish to use this method, however, we will accept orders using the form below with payment by check or money order. (If you wish to use your PayPal account click here.) Mail this completed form with your check or money order (allow 10 days extra for check payments) to:

Twist 'n' Curl ^tm
Suite 17
The Design Center
Santa Fe, NM
USA 87501

Telephone 505/ 920.0155

Name

Company

Apt./ Suite Address

Street Address

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

E-mail

Please provide the following information about your order

Item#

     Description / Name

   Price

SUBTOTAL



SALES TAX (NM add 5%)

SHIPPING & INSURANCE
($1.50 for 1st item / $3.00 for more than 1 item)

TOTAL

BILLING INFO

Credit Card

Cardholder Name

Card Number

Expiration Date

ZIP Code
(of card billing address)

Email address (required)

CREDIT CARD BILLING ADDRESS
(only if different from your Shipping Address)

Name

Company

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Name
Company
Apt./ Suite Address
Street Address
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Item#	Description / Name	Price





	SUBTOTAL

	SALES TAX (NM add 5%)
	SHIPPING & INSURANCE ($1.50 for 1st item / $3.00 for more than 1 item)
	TOTAL

	BILLING INFO
Credit Card
Cardholder Name
Card Number
Expiration Date
ZIP Code	(of card billing address)
Email address (required)

	CREDIT CARD BILLING ADDRESS (only if different from your Shipping Address)
Name
Company
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Order Form (To Be Mailed)

Order Form
(To Be Mailed)