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CROSS FOR YOU Is here to assist you in anyway we can.
Feel free to call: 818-838-3500 - Toll free 1-877-845-3678 
Monday-Friday, 8am-5pm

   

 

   

 

All information provided is confidential. We do not sell, rent, share or disclose personal information to third parties!!!!!!!!
when you enter personal information, that information is encrypted using a security protocol called SSL (Secure Sockets Layer). SSL encrypts all information entered on our site before it is sent over the Internet
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  ORDER FORM

CUSTOMER INFO

 

NEW CUSTOMER:

  YES NO

NAME (REQUIRED):

COMPANY NAME:

WEB SITE:

E-MAIL (REQUIRED):

PHONE   w / Area Code :

This number will become your Customer ID#

PHONE w / Area Code :

 

 

billing INFO

  Fraud will be prosecuted to the fullest extent of the law.  

CHECK:

Sending Check       Make payable to: CROSS FOR YO for address check here

P O:

Purchase order
coupon code:
   
CARD: Visa MasterCard AMEX Discover

CARD NUMBER:

CARD cvc NUMBER:

What is the CVC Number?

click here

Card Expiration:

 / 
Name Exactly on Card :
Billing Address:
ROOM / SUITE:
City:
State:

Zip Code:

   
TAX RESALE NUMBER: For California Resellers ONLY  Reseller's Form (PDF)
  No Sales Tax out of California
   
CUSTOMER pick up Pick-Up for address & map check here
OR  
Shipping INFO  
delivery: Commercial  (business location, not a home)
Residential   (a location that is a home)
SAME AS BILLING: check here.  If not, please fill out this part

NAME:

ATTENTION:
SHIPPING Address:
ROOM / SUITE:
City:
State:

Zip Code:

   
Quantity Item # Description Color Size Price Total
Sub Total:
Shipping is automatically calculated. Shipping:
California Residents without Seller's Permit must pay sales tax. Taxes:
Total:
   
  Comments, suggestions or special instructions or more sizes.

MESSAGE:

 

Thank You! We will contact you to finalize your order.
 

   
 

 

 

 

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