Cutlery Cuts Order Form

Billing Information                     Shipping Information (if different)

Name________________________________     Name ______________________________

Address __________________________       Address _____________________________

City_______________________________      City_________________________________

State/Zip__________________________       State/Zip____________________________

Phone_____________________________ (incase of any questions)

Email _____________________________ (required for confirmation)

Method Of Payment :
                             
__Visa __M/C __Discover __AMEX   Credit Card Number ______________________________
	                                      
Security Code _________  (back of card)	Expiration Date ____________       

_____Check / Money Order   _____Cash (at your own risk)						 				
      								
Product     Quantity		Description					 Price

_______	________	_____________________________________	__________	

_______	________	_____________________________________	__________	

_______	________	_____________________________________	__________	

_______	________	_____________________________________	__________	

_______	________	_____________________________________	__________	

_______	________	_____________________________________	__________	

_______	________	_____________________________________	__________	

_______	________	_____________________________________	__________	

_______	________	_____________________________________	__________	

Less than $20.00 = $4.95					Sub-total:	__________	
$20.01 to $40.00 = $6.95
$40.01 to $60.00 = $8.95
$60.01 to $69.99 = $10.95				  CA Taxes:      __________	
$70.00 or more   = FREE SHIPPING!
				                			Total:	__________	
Mail to:				
Cutlery Cuts
PO Box 84882
San Diego, CA 92138 
FAX: 866-805-7668