| To Order, Call 1-800-793-1949 |
We suggest that you print out this form, fill it out and fax it to 518-235-1444 or mail it to Hudson-Neva/ Nevsky, 19 Broad Sreet, Suite 100, Waterford, New York 12188 |
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Ship to: Name: ............................................................................ Address: ......................................................................... City/State/Zip: ............................................................... Country: ........................................................................ Daytime Phone: .............................................................. Gift Message: ................................................................. |
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| Delivery Charges: For Shipments in the Continental U.S.
Want it Faster?: We can ship your package by 2nd Day or Next Day Air to any street address in the Continental US for just a few dollars more than regular delivery charge. If you would like Express delivery, please add the amount below to the regular delivery charge shown above
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Check/Money Order:               
               Credit Card: Credit Card Number: Name on the Card: Billing Address: Exp. Date: Signature: |