Ferndale Clothing Company in the Victorian Village of Ferndale Order Form

To protect your credit information, please print this order form, and phone or fax it with your VISA, MasterCard or debit card number.
Please use one form per "ship to" address.

Your Name: Ship To:
  Name
Street Address Street Address
   
City City
State Zip State Zip
Telephone  

E-mail address

 

Item

Quantity

Price

Total

   

$

    $

$

   

$

   

$

Is this a gift order?

Subtotal

Ship to arrive by (date):

USPS Priority: First 6 items = $3.90

Message for gift card: CA customers, add 8.25% tax
  Grand Total $
Special Instructions:

Please complete the credit/debit card information requested below:

Name of Cardholder

Card Number:

VISA

MasterCard 

Exp. Date

Signature

 

Fax: (707) 786-4961. Fax anytime!

 

Mail: PO Box 1430, Ferndale, CA 95536-1430

Telephone: (707) 786-4111. Call between 10 am and 5 pm, PST.

Thank you for your order

E-mail Karen at Ferndale Clothing Co. (never send credit information by email!)

 

2003-2015 / Ferndale Clothing Company