Cutlery Cuts Order Form

Billing Information	Shipping Information (if different)
Name _____________________________	Name _______________________________
Address ___________________________	Address _____________________________
City_______________________________	City_________________________________
State / Zip__________________________	State / Zip____________________________
Phone_____________________________
Email _____________________________	¬ (For Delivery Confirmation/Tracking info)

Payment Method ____Visa ____ Master Card ____ AMEX ____Discover ____Check / Money Order ____Cash (at your own risk)

Credit Card Number _________ - ________- ________- ________ Security Code (back of card) Expiration Date (mm / yr) ___________ _____ / _____ _______________________________________________________ Signature

Product #

Quantity

Description

Price

Less than $35.00 ...$6.95 $35.01 to $50.00 ...$8.95 $50.01 to $75.00 ...$10.95 $75.00 or more .....FREE SHIPPING	Merchandise Total	________________
	Shipping	________________
	Sales Tax (CA Only) 7.75%	________________
Mail to: FAX: 619-955-8991 Cutlery Cuts PO Box 84882 San Diego, CA 92138	TOTAL	________________