credit app form

IF YOU WISH TO PLACE AN ORDER ONLINE
PLEASE GO TO:
www.hookstore.com

WHERE YOU CAN BUY ON OUR SECURE SITE WITH ONLY A $50.00 MINIMUM PURCHASE REQUIRED.

You may fill out this form and submit it online, or print it out (click somewhere in this frame and then use your browser's print functions) and send it to us at:

ART-PHYL CREATIONS, 16250 NW 48 AVE, MIAMI FL 33014

Or FAX it to us at (305) 621 4093 or,
call us toll free at 1 800 327 8318 To place your order by phone

MINIMUM ORDER-$100.00

$25.00 .SERVICE CHARGE FOR ALL ORDERS UNDER $100.00

ORDER CODE

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METHOD OF PAYMENT

OPEN ACCOUNT (Go to CREDIT APPLICATION if you need to apply)
ACCOUNT NUMBER                                P.O. NUMBER

CREDIT CARD (Our Sales department will call you for your
credit card information.)

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BILL TO:

NAME

COMPANY

ADDRESS

ADDRESS

CITY, STATE, ZIP

COUNTRY

PHONE, FAX

EMAIL

SHIP TO: (If other than Bill To)

NAME

COMPANY

ADDRESS

ADDRESS

CITY, STATE, ZIP

COUNTRY

PHONE, FAX

Thank You for your order.