To place order, you may print this order form and mail to
P & C Ceramic Supply Co.
P. O. Box 444
Olney, Texas 76374
OR - You may order by phone - 940-521-2412 - have your Credit Card handy;
OR - You can also send your order to us under the "Contact Us" tab -
This goes directly to my business e-mail.
Please call in Credit Card Info, due to the new law changes.
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Order Total | |
Shipping | |
Sub total * (figure to be taxed) | |
(Texas) 8.25% Tax | |
CHECK or Money Order Number ( If by check, check must clear before items ship) TOTAL DUE | |
CUSTOMER NAME | | |
ADDRESS
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CITY | STATE | ZIP CODE |
TAX NUMBER
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Name & address exactly as on Tax Number Certificate | | |
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E Mail Address | | |
PHONE NUMBER Area Code ( ) | | |
ORDERED BY (Signature) | Print Name | |
Credit Card Orders: Type of Card - _____ Visa; _____MC; ______Discover
Name on Credit Card: _______________________________________________
Address where Bill goes to: ___________________________________________
____________________________________________
Security code from back _______ Expiration date ______-______