The Scarefactory, Inc.
2905 East Fourth Avenue Columbus, Ohio 43219 614-252-8000 614-252-8010 fax Email: Scarefactory@msn.com Website: www.Scarefactory.com
2016 Order Form Bill To: Company Name: ___________________________________ Attn:_____________________________________________ Street______________________________________________ City, State Zip______________________________________ Phone No.________________ Fax No.__________________ Email: ____________________________________ Purchase Order No.
Customer No.
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Ship To: Company Name: ___________________________________ Attn:_____________________________________________ Street______________________________________________ City, State Zip______________________________________ Phone No.________________ Fax No.__________________ Email: ____________________________________ Ship/Pickup
Salesman & No.
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Charge order to our: MasterCard Visa Account Number____________________________________________ Name on Account:__________________________________________Exp. Date__________ Security Code:_________ Authorized Signature:_______________________________________Title:________________________ Catalog
Item Name
Price Each
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Notes:
Total Dollar Value this Order -Less ___% Discount/Order National Halloween Show Discounted Value of this Order 50% Deposit Due at time of Order Balance due at time of shipping this Order __________________________________________ Signature of Purchaser Date
_______________________________________________ Satisfaction Guaranteed by The Scarefactory Date