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Get Pampered Chef Order Form

Grand Total Your Consultant is 860-283-4971 or 860-620-4330 text Julkoz aol.com www. pamperedchef.biz/pamperedbyjulkoz This form may not be used as an original the Home Office as an order form. For reproduction and use by Pampered Chef Consultants only. An email address or mailing address with phone number is required in case we need to contact you about your order. NAME FIRST PLEASE PRINT LAST ADDRESS Check preferred phone You must provide a valid street address for shipping. DAY PHONE CITY EVENING PHONE STATE ZIP Cell PHONE Please fill in Student Name Host Name s EMAIL Orders cannot be delivered to a P. O. Box except in APO/FPO locations. Product Item Qty. Price Total February 2013 Guest Special FREE Small Batter Bowl FREE Small Batter Bowl with purchase of 60 or more GUEST SPECIAL Receive FREE Small Batter Bowl with purchase of 60 or more excludes tax and shipping. RF03 I d like to learn more about Earning extra income with a flexible schedule Hosting a Cooking Show Pampered Chef Wedding Showers Fundraising Receiving your monthly eNewsletter If you ve hosted a Show in the past year you re eligible for 10 off does not apply to monthly Host Special. Include Host Discount or Show month and year / MONTHLY HOST SPECIAL Available only to current host and past host from whom this Show was booked* Limit one item* pantry Product Subtotal B Shipping Handling to host OR Product Amount 10 Past Host Discount o irect Shipment D For information on Direct Shipment to guest please refer to back of sales receipt. Subtotal C Payment Cash Check Julie Kozikowski Please make check payable to Credit card we accept Card Number ORDERS SUBJECT TO ACCEPTANCE IN ILLINOIS Charge Amount Expiration Date Cardholder Billing Zip Code Required Name on card print Signature hen we use information from your check to make an electronic funds transfer W funds may be withdrawn from your account as soon as the same day your payment is received and you will not receive your check back from your financial institution* 2012 The Pampered Chef used under license. Pantry Amount Sales Tax Pantry Total Pantry Subtotal Food Tax 5. 25 Shipping fee is for shipments to hosts within 48 contiguous states and APO/FPO addresses. For all other shipment options see back of Ask me about Direct Shipping. Round Up your order to feed the hungry. Taxable Shipping P4060-12/12 Shipping and Handling Charges For orders shipped to 48 contiguous states and APO/FPO addresses Guest Shipping to Host 5. 25 Direct Ship to guest address Use Product Subtotal B Pantry Subtotal from the front page as the product amount on the chart at right to calculate the base rate. Alaska or Hawaii Direct Ship only Direct Ship Rates Base up to 19. 99 20 to 29. 99 Puerto Rico U*S* Virgin Islands Guam American Samoa and U*S* Territories Please refer to shipping methods and rates on pamperedchef*com for the latest information regarding taxes on shipping and handling. 30 to 39. 99 40 to 49. 99 10. 25 50 to 64. 99 11. 50 65 to 129. 99 15. 25 130 and over Noncontiguous U*S* locations excluding AK and HI add 5.

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