CONSIDER IT THERE, INC. – INFORMATION FORM
PLACE INSIDE PACKAGE
PLEASE FILL OUT ALL INFORMATION BELOW
RETURN WITH ART WORK BY APRIL 25, 2008
NAME_____________________________________________________
ADDRESS__________________________________________________
CITY/STATE__________________________ZIP___________________
TELEPHONE (H)_______________________(W)____________________
FAX_______________________EMAIL___________________________
TITLE OF WORK(S) AND AMOUNT TO INSURE FOR RETURN SHIPMENT
TITLE OF WORK INSURED VALUE (Consider It There, Inc.
not responsible for loss or damage)
____________________________ _________________________
____________________________ __________________________
____________________________ __________________________
MEASUREMENTS OF SHIPPING CARTON(S)
#1 Length_________ Width_________ Height_________
#2 Length_________ Width_________ Height_________
#3 Length_________ Width_________ Height_________
RETURN ADDRESS: *The $38 handling fee does not include return shipping charges.
NAME______________________________________________________
ADDRESS (NO P. O. BOXES)______________________________________________
CITY/STATE__________________________________ZIP_______________________
TELEPHONE (H)_______________________(W)_________________________
PAYMENT METHOD: PLEASE PROVIDE YOUR VISA OR MASTERCARD NUMBER FOR PAYMENT OF $38.00 FOR EACH BOX OR CRATE.
___Visa ___MC CARD NUMBER___________________ EXP. DATE____ CVV___
I agree to the charges indicated above. SIGNATURE__________________________
