(PLEASE PRINT OUT THIS ORDER FORM)
$1,000 Gift Certificates
"First Order" Bonus Coupon Order
Form
(DID# 10681)
This bonus coupon has a discount value of $500 to $5,000 and can be used "Only
Once" per customer. All "Future Orders" will be discounted a full 60% off
our regular price of $25 per certificate.
80% Off Your First Order!
Your cost - Only $5.00 Each.
On the line below PLEASE PRINT CLEARLY what you want printed below "Compliments
of" on your certificates:
_______________________________________________
Please ship the quantity of $1,000 Gift Certificates checked below:
__ 25 Certificates (Regular Price: $625)
Your 80% off Cost: $125.
__ 50 Certificates (Regular Price: $1,250)
Your 80% off Cost: $250.
__ 100 Certificates (Regular Price: $2,500)
Your 80% off Cost: $500.
__ 250 Certificates (Regular Price: $6,250)
Your 80% off Cost: $1,250.
Shipping And Payment Information
PLEASE PRINT CLEARLY
Buyers Name ________________________________
Company Name ______________________________
Address ____________________________________
City ______________________State ___ Zip _______
Phone______________________ Fax_____________
Gift Certificate (80% Off) Cost .................... $_________
Priority Shipping & Handling ..........................$ FREE
Total Amount Of This Order ........................$ _________
(Florida Residents ONLY) Add 7% SalesTax ......
$ _________
Method of Payment:
__ Check or __ Money Order payable to: C&B Incentives
__ Visa __ Mastercard
Credit Card#: ____________________________________
Expiration Date: __________________________________
Please charge my credit card (amount): $ ___________
Signature ___________________________________
If you are paying by credit card, you may fax in your order and save the mailing time.
(DID# 10681)
Mail to:
C&B Incentives, P.O. Box 1638, Oldsmar, FL 34677
or Fax to: (813) 818-7653
