V. P. Gabriel, Inc. Fax Order Form
When Completed Fax to 520-750-1442

Billing Information
Name on your credit card		
Company (if any on card)		
Street (where credit card is billed to)		
City (where credit card is billed to)		
State (where credit card is billed to)		
Zip (where credit card is billed to)		
Your Phone 		
Your Fax		
Your email		

Shipping Information
□ Ship to billing address
Otherwise, provide the following information:		
Name		
Company (if any)		
Street		
City		
State		
Zip		

Items
Item No	Quantity	Description	Price	Price X Quantity	

					

Credit Card Information
 □  Visa	□ Mastercard	□ Discover	□ American Express	

Credit Card Number		
Expiration Date		
Security Code (3 digits listed on signature strip for Visa & Mastercard or 4 digits on the upper right of American Express Card)		
Your signature authorizing us to charge your card for the amount of your purchase plus shipping and handling, insurance and sales tax, if applicable		

Optional: You may fax us a copy of your card, and that establishes that you are in physical possession of the card you are using.

Special Instructions

	

Policies
1. It is our policy to ship most orders under 3 pounds by United States Postal Service Priority Mail. This provides the customer with the least expensive shipping cost. This permits us to ship to a post office box, if you so desire.
2. If your order equals or exceeds 3 pounds after it is packed, we will probably elect to ship it via Federal Express to keep the cost down, unless you have chosen to have it shipped to a post office box.
3. We may include a handling charge (maximum is $2.50). The handling charge covers our cost to bill your order, to insure it and to confirm its delivery. You agree that we can bill a handling charge.
4. You bear the responsibility for the correctness of the shipping address that you provide. If we send the package to that exact address, and it is returned to us as undeliverable, we will contact you by email to advise you that we have received the package back. You agree that we may charge your credit card for the additional shipping, handling ($5.00) and insurance to send the package to a better address that you may provide. If you fail to provide a better address, we will restock the product and issue you a refund of the price of the merchandise, only, less a restocking fee of $20% or $5.00, whichever is greater. You agree to bear all incidental and consequential costs of providing us with incorrect addresses for shipping or for billing.

Our return policy is as stated on our website at www.loupe-magnifier.com