Tarheel Cigars Mail/Fax/Email Order Form

Fill out this form and mail to: Tarheel Cigars 108 7th St. Waynesville, NC 28786

Or you can fax this order form to us at: 801- 922 - 3493, or email a scanned copy to admin@tarheelcigars.com

Brand

Size

Wrapper

Quantity

Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

          (visa/ mastercard, amex, money order or check) Method of Payment:

 

                                                                                                 Subtotal:

 

                                                                                                Shipping:

 

                                                                                                       Total:

 

How to calculate shipping: Five packs ship for $2.00, with each additional item costing only $1.00 each. Full boxes and bundles ship for $4.85 with each additional item costing only $2.50 each. Canadian orders ship Airmail Letter Post and costs $6.35 for the first item with each additional item costing only $4.00 more. International customers please contact admin@tarheelcigars.com for a shipping quote.

Billing Information:

Name: _________________________________________________________________________________

Address: ___________________________________________________ Phone: _____________________

City ________________________________________ State:_________ Zip Code:____________________

Card Type: _______________________________________ Expiration: M____________Y_____________

Card Number: ___________-___________-___________-___________ 3 Digit CVC Code: _____________

Shipping Information:

Ship to same address as above?: ___ yes ___ No. Please ship this order to:

Name: ________________________________________________________________________________

Address: _______________________________________________ Phone: ________________________

City: ____________________________________ State: __________ Zip Code: _____________________

Signature: X____________________________________