Veils by Bill Order Form

May I suggest that you print out this form and use it as a basis for your phone-in order.  Or fill it out and send it with your payment by mail or fax.  I do not have a secure line and therefore do not suggest sending your credit card numbers on-line.  
I can take charges on line via PayPal, My email is my PayPal ID : janie@designsbyjanie.com
If you are not familiar with PayPal go to www.paypal.com and check it out.
I also have access to credit card processing for Visa and Mastercard only.

Security Policy:  I will ask for the information necessary to process your order, but no more.  You will become part of my data base.  I do not share my information about you with anyone else without your permission.  Therefore you can be assured your information will never be sold.
Name __________________________________________________________________________

Address ________________________________________________________________________

City _____________________________________ State _________________________________

Zip Code _____________________  Country ___________________________

Day Phone _______________________________  Night Phone ____________________________

E-mail _________________________________________________________________

Method of Payment:
Check or Money Order in US Dollars only and made out to : Bill Midgley
Merchandise will not be shipped until your check clears the bank, about 14 days from deposit.
Credit Card Type (Please Circle):        Visa                          Mastercard

Credit Card # ____________________________________  Expiration Date __________________
Or pay using your credit cards or an echeck via PayPal on-line payments

Order:
List Item, How Many & Cost (One item per line)

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

Sub Total ____________________

Shipping _____________________ (shipping rates found below survey)

Total _______________________

Short Survey - Please answer:
How did you hear about us?
Returning customer ____
Referred by a friend ____  if so who __________________________
"Joy of Belly Dancing" web site _____
ebay _____
At an event ____ Name of event ________
Web surfing ____
Tribe.net ____
Yahoo groups ____ which one ______
Other _________________________________________________________



Shipping Charges within the USA only:
0.00 -- 50.00 = $5.00
50.01 -- 100.00 = $6.50
100.01 -- 150.00 = $8.50
150.01 -- 200.00 = $10.50
200.01 -- $250.00 = $12.50
250.01 and higher = FREE shipping
Packages are generally shipped Priority Mail.   Due to bad service we will no longer ship through UPS, sorry for the inconvenience.

International Shipping: International orders can not be shipped for the same price as US orders, not even to Canada.  I must check with the post office for each package, because their web site is not accurate.  Please inquire before ordering.

Sorry NO CODS

Phone or Fax in at 702-476-5737
The answer machine is always on, so if no one answers just leave a message.  It is secure to leave your credit card numbers in your message.  Please don't talk fast -- I write slow.

E-mail:  janie@designsbyjanie.com  Put Veils by Bill in the subject line somehow.

Mail to: Bill Midgley, 6867 Silver Eagle Ave., Las Vegas, Nevada 89122 USA
I THANK YOU for your business

Please Come Again