Credit Card Order Form
Please fill out form, listing Cape Cod Clipper products desired:

Your Choices

1. Click on Submit below order form to send Credit Card order
2. or Print Out order form and fax it to us at 1-508-653-0268
3. or Call Us toll free at 1-800-225-4876 with your order........... Thank You !

Please enter the following order

Name

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Phone * required

FAX

Email * required

Please ship the following Cape Cod Clipper products

QTY STOCK # DESCRIPTION PRICE

PAYMENT

Credit card

Cardholder name

Card number

Expiration date

SHIPPING INSTRUCTIONS

Ship Via

Other Shipping

Instructions

SHIPPING ADDRESS (if other than above)

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

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Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Phone	* required
FAX
Email	* required

	PAYMENT
Credit card
Cardholder name
Card number
Expiration date

	SHIPPING INSTRUCTIONS
Ship Via
Other Shipping
Instructions

	SHIPPING ADDRESS (if other than above)
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

Credit Card Order Form Please fill out form, listing Cape Cod Clipper products desired:

Credit Card Order Form
Please fill out form, listing Cape Cod Clipper products desired: