FAX
/ MAIL ORDER FORM
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All
returns must have a Return Authorization Number. Please contact us if
you wish to return a item. We will charge a mininum 10% restocking fee
if you return an item, and shipping costs are not refundable.
AntiScald
Inc. will only accept returns FOR PRODUCTS THAT ARE DEFECTIVE
within 30 days from date of purchase for a full product
refund applicable to all Products.
ALL information on the form must be clear and legible - any information missing will prevent your order from being fulfilled.
| PRICES DO NOT INCLUDE SHIPPING CHARGES Please be sure to add shipping charges to avoid your order being delayed. |
Please type in all but your signature, then print
and fax to us at (718) 263-1259 or mail it with a check or money order to: AntiScald Inc. - Attn: Esther Stein - 70-40 137th St. - Flushing, NY 11367-1949 USA |
| ScaldShield Shower 1410 Now Available! |
QUANTITY @ $34.99 | ScaldShield Faucet 14108 Now Available! |
Quantity @ $34.99 |
| ScaldShield Bath 14109 Now Available! |
QUANTITY @ $34.99 | Scaldshield
Mini TMV With Fittings 14111 Now Available! |
Quantity @ $99.65 |
| Scaldshield Domestic - PLEASE CALL US AT (718) 268-7126 TO ORDER THIS PRODUCT | |||
| CREDIT CARD INFORMATION | |||||
| Card Type | VISA MASTERCARD DISCOVER AMERICAN EXPRESS | ||||
| Credit Card Number |
Expiration Date 3-Digit Number on Back of Card |
||||
| Name On Card | |||||
| Address | Address 2 | ||||
| City | State Zip Code Telephone | ||||
| SHIPPING INFORMATION | |
| SHIP TO: | |
| ORDER AMOUNT | ||||
| SHIPPING & HANDLING COST | 1 Item = $4.50 / $1.50 for each additional Item | |||
| SALES TAX (NY Residents Only) | 8.65% x ORDER AMOUNT | |||
| TOTAL AMOUNT | ||||
| CARDHOLDER SIGNATURE | ||||
| E-MAIL ADDRESS | ||||
THANK
YOU FOR YOUR ORDER!
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