Rainebrooke - Printable Order Form

Mail To:
Rainebrooke Designs
16720 Stuebner Airline #134
Spring, TX 77379

Web site: www.rainebrooke.com
Email: customercare@rainebrooke.com

Printable Order Form

1. Print this form
2. Contact us for shipping charges (see shipping charges section below)
3. Fill out this complete form (All areas must be filled in or your order will not be processed.)
3. Mail this form and your payment to the address shown above

Date:

_________________

Bill To:
Name:
Company/Organization (if applicable):
Address:
City:
State:	Country:
Zip:
Phone: ( )
Email:

Ship To:
Name:
Company/Organization (if applicable):
Address:
City:
State:	Country:
Zip:
Phone: ( )
Email:

Method of Payment:

Credit Card

Exp. Date: Month: ________ Year: ________

Card Number:

CVV2 (Security Code): ________
(3 digit code located on the back of your card inside
the signature area)

Signature:

Card Type: Visa MasterCard

Check Enclosed for: $ _______
Money Order Enclosed for: $ ________

Shipping Charges:

Total Shipping Charges: $ ________

To determine the shipping charges, send an email to (shipping@rainebrooke.com) with the following information:
1. What you are ordering
2. Your complete shipping address
2. Your preferred shipping method (below)

Shipping Method (select one):
U.S.P.S. Priority Mail
U.S.P.S. Express Mail
UPS Ground
UPS 2nd Day Air
U.S.P.S. Global Priority Mail (Canada & UK only)
U.S.P.S. Global Express Mail (Canada & UK only)

Item:	Quantity:	Price:	Total:
Classic Red Slim Line Laptop Bag/Sleeve		$30.00
Lime Green Slim Line Laptop Bag/Sleeve		$30.00
Olive Green Slim Line Laptop Bag/Sleeve		$30.00
Light Blue Metro Lite Laptop Bag		$45.00
Light Pink Metro Lite Laptop Bag		$45.00
Hot Pink Metro Lite Laptop Bag		$45.00
Bronze Metro Lite Laptop Bag		$45.00
		Subtotal:
		Shipping Charges:
		Sales Tax (TX residents add 7.25%):
		Total: