AGAPEDISTRIBUTORS.com FAX ORDER FORM

Fax to: 781-273-4600

Company name:

Date:

Contact name:

Contact number:

Contact Email:

Purchase Order Number:

 

 

Ship to:

Bill To:

Name

Name

Address

Address

Address

Address

City, State

City, State

Zip code, Country

Zip code, Country

Payment Information

 

Credit card

Number

Exp

Date 

Is this a drop shipment? Yesc Noc

    Authorized Signature:

_________________________________________

Product Code

Title

Quantity

Price

Qty x Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sub-total

 

 

 

$3.00 Drop Shipment Fee

 

 

FREE FREIGHT to US destinations for 150 units or more.

US & Canada Freight (greater of  $6.95 or 12%) International: See chart below

 

 

 

 

TOTAL

 

AGAPEDISTRIBUTORS.COM ORDERS

FAX orders to:  781-273-4600

Mail orders to:

AgapeDistributors.com
4 Myrna Street, Suite W206
Burlington, Ma 01803

Purchase orders
Terms: Net 30
Confirmation of order will be made by email.
Purchase order number will be provided on delivery labels and invoices.

Resolution of all price difference between purchase order and invoice/statement will be made prior to shipment.
Back ordered status will be communicated prior to shipment.
Agreement to pay $25.00 handling fee for payments with insuficcient funds, and payments over 30 days.

Drop Shipments
$3.00 drop shipment fee.
One shipping address per order.
Terms: Prepayment required.
Payment method: No purchase orders.  Cashier’s check, money order or credit card payments only.
Billing address must match the credit card billing address.

Returns
Report any problems within 15 days.
Returns must be received within 30 days from receipt.

Freight:
Domestic Freight:
Free freight for 150 units or more.
UPS Ground or USPS parcel post $6.95 minimum order or 12%, whichever is higher.

International Freight: UK, Australia, New Zealand

Number of Units

 

AIR Mail

(*4-9 days)

Surface

(*28-42days)

Global Priority

(*4-7 days)

 

1

 

$7.95

$6.95

$8.95

 

2-10

 

$12.95

$12.50

$13.95

 

11-20

 

$26.95

$25.95

$28.95

 

21-30

 

$34.95

$32.90

$37.95

 

31-40

 

$42.90

$39.85

$46.95

 

41-50

 

$50.85

$46.95

$55.95

 

51-60

 

$58.80

$53.90

$64.90

 

61-70

 

$66.75

$60.85

$73.85

 

71-80

 

$74.70

$67.80

$82.80

 

81-90

 

$82.65

$74.75

$91.75

 

91+  for each addt’l 10 add:

 

$7.95

$6.95

$8.95

 

* Estimated delivery time.  Not a guarantee.

 

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