S.P.I. Manufacturing Co., Inc. - Fax Back Order Form

Call In, Mail Or Fax To:
STELLAR NAIL CARE PRODUCTS
8100 Park Boulevard - Building # 50
Pinellas Park, FL 33781
Telephone: 800-NAILS-07
Facsimile: 727-548-9104
E-Mail: shopping@stellarnails.com

Order Date	Wednesday, July 09, 2008
Customer ID #
P.O. Number
Resale Tax ID #

PAYMENT TERMS

	UPS Ground COD (S/H + $ 7.50)
	Check Enclosed / Prepaid
	Visa/Mastercard/Discover/AMEX/PayPal
IMPORTANT:If placing order by credit card, faxed or mailed CC orders will not be accepted without a signature.

CUSTOMER TYPE

	New Customer
	Previous / Existing Customer
	New Address
	Changed Salons
	New Phone #

DELIVERY METHOD

	UPS Next Day
	UPS 2nd Day
	UPS 3-Day Select
	UPS Ground
	US Postal Service

SOLD TO		SHIP TO
Business Name		Business Name
Address 1		Address 1
Address 2		Address 2
City, State ZIP		City, State ZIP
Contact Person		Contact Person
Telephone		Telephone

Item #	Qty.	Item Description	Color/Size	Price Each	Item Total










Total Order Amount					$
Florida residents add 6% state sales tax					$
Grand Total Of Order *(appropriate shipping will be added depending upon weight of shipment and shipping method chosen)*					$

Credit Card Information
Cardmember Name:
Card Number:
Expiration Date:
Billing Address:
Billing Zip Code:
Signature:

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Visa/Mastercard/Discover & AMEX Credit Cards Accepted

We Accept Visa, MasterCard, Discover and American Express