Fax Order Form

To: 802-609-2332

Thank you for shopping at www.kaccents.com

Order Details:

Item #	Description	Qty	Unit Price	Total
	* All Sale is Final. * Free Shipping promotions, Subject to Terms of Sale * Free Shipping Orders will be shipped via standard ground service only. * Free Shipping available to 48 contiguous states of the USA only.	Sub-Total
		Shipping
		Order Total

I confirm this order as detailed and agree to the terms of sale as posted on www.kaccents.com.

I enclosed my check payment / I authorize Kaviik’s Accents to charge this order to my credit card given above.

Customer / Cardholder Signature: ___________________________________ Date: ________________

Name : __________________________________

Company : __________________________________

Address : __________________________________

City, State, Zip: _______________________________

Telephone: ____________________ ______________

Email : __________________________________

CHECK & MONEY ORDER PAYMENTS

MAIL TO:

Accent Commerce Solutions

P.O. Box 802

Milltown, NJ 08850

Name : ________________________________

Company : ________________________________

Address : ________________________________

City, State, Zip: _____________________________

Telephone: ________________________________

Email : ________________________________

Bill To: ( ) If same as shipping address

Ship To: