Order Form
(Printable Version)

If you do not wish to use our electronic Order Form we will accept orders using this form and payment by check or money order. (If you wish to use a credit card you may do so ONLY through PayPal, a secure third party method of paying us with your plastic. For more information about PayPal click here.) Mail this completed form with your payment (allow 10 days extra for check payments) to:

Twist 'n' Curl ^tm
P.O. Box 28249
Washington, DC.
USA 20038-8249

Telephone 202/ 528.4179
Fax 507/ 262.3094

Name

Company

Street Address

Address (cont.)

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 (DC or VA add 5%)

SHIPPING & INSURANCE (3% of subtotal)

TOTAL

BILLING - Charges will be processed through PayPal.

Credit Card

Cardholder Name

Card Number

Expiration Date

ZIP Code
(of card billing address)

Email address (required)

SHIPPING (if different from above)

Name

Company

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Name
Company
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Item#	Description / Name	Price





	SUBTOTAL

	SALES TAX (DC or VA add 5%)
	SHIPPING & INSURANCE (3% of subtotal)
	TOTAL

	BILLING - Charges will be processed through PayPal.
Credit Card
Cardholder Name
Card Number
Expiration Date
ZIP Code	(of card billing address)
Email address (required)

	SHIPPING (if different from above)
Name
Company
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Order Form (Printable Version)

Order Form
(Printable Version)