* Aunties Treasures * Toll Free Order Helpline 1-888-563-3917 * P.O. Box 725 * Local Order Helpline 1-210-568-7115 * Port Neches, TX 77651 * Fax Line 1-409-527-4771 Shipping Address: Name:____________________________________________________________________________________ Address:_________________________________________________________________________________ Phone:___________________________________________________________________________________ Email Address:___________________________________________________________________________ Ship Via (Please Check) Payment (Please Check) o USPS First Class Mail ($4.99) o Personal Check/Money Order (USD o USPS Priority Mail ($8.99) o Credit Card (USD) o USPS Express Mail ($25.99) o Western Union (USD) Card Type (Circle): AMERICAN EXPRESS VISA MASTERCARD DISCOVER Card Number: ___________________________________ Exp Date (MM/YY): ___________________________________ 3 Digit Card Code (Last 3 Digits on Back): _________________________________ AMEX Card Code (4 Digits on Front): ________________________________________ Name on Card: ______________________________________________________________ Phone Number of Card Holder: _______________________________________________ Billing Address of Card Holder: _________________________________________________________ Authorized Signature: ___________________________________________________________ SKU Number & Size Description Quantity Price Total Price ___________ ___________________________ ______ ___________ ______________ ___________ ____________________________ ______ ___________ _______________ ___________ ___________________________ ______ ___________ _______________ ___________ ___________________________ ______ ___________ _______________ ___________ ___________________________ ______ ___________ _______________ ___________ ___________________________ ______ ___________ _______________ ___________ ___________________________ ______ ___________ _______________ ___________ ___________________________ ______ ___________ _______________ ___________ ___________________________ ______ ___________ _______________ ___________ ___________________________ ______ ___________ _______________ Order Total _______________ TX Taxes (.0825) _______________ Shipping _______________ Grand Total _______________