Faxed Order Form
UNDER CONSTRUTION
CandleDeLightStore
Light Up Your Life!
11707 Clovis Court
Klamath Falls, Oregon 97603
(541) 281-5501 Office
(541) 850-9898 Fax
PO#__________
Company___________________________ Contacts___________________________Phone__________________________
Fax________________Email______________
Address________________________City______________________State_________
Zip/Postal______________Foam of Payment_________________________________
Card#_______-_______-_______-_______ Expiration Date ____/______CW Code______
Card Billing Address________________________City________________State______
Zip/Postal__________________
Make All Checks Payable To: David Diamond
All orders don't shiped till checks clear.
If you have any question concerning this Invoice Call: (541) 281-5501
Faxed Order Number: (541) 850-9898