Order Form for Fax OR Postal - Coconut Villa Gift Shop

Coconut Villa Gift Shop P.O. Box 326133 - Agana, Guam 96932 Phone 671-477-SHOP Fax 671-472-1826 [email protected] To Print this form Click "PRINT" on your browser

Customer information; PLEASE PRINT

Name______________________________ Addr1_______________________________

Addr2_____________________________City___________ST _____Zip ________

Phone_____________________________Email________________________________

_____________________________________________________________________________

SHIP YOUR ORDER BY; Circle one; USPO Priority Mail USPO Express Mail

Express Carrier _______________ OTHER_______________________

PAYMENT Method; Circle one; Payment enclosed MasterCard VISA JCB

Discover AMEX/Optima

Credit Card Information; Card Number ___________________________________

Your name (as on your card) PLEASE PRINT __________________________________

Card Expires MM/YY___/___ Signature_________________________Date___________

HOW TO ORDER BY EMAIL;
Please give us the following;

FOR CDs: Stock#, Quantity, Artist Name, Title, Price

OTHER PRODUCTS; Stock#, Quantity, Description of items, Price

Your NAME (As it appears on your Credit Card)
Complete ADDRESS and Daytime Phone Number
Your Credit Card TYPE (Visa/MC, ect), Your Card Number and Expire Date

Please NOTE: CREDIT CARD PURCHASES WILL NOT BE SHIPPED if the address of the card holder (as provided to us by the approval agency) is not the same as the address of the destination of the shipment.

You can FAX us your order at 671-472-1826. NOTE: Guam is US DOMESTIC phone rates, NOT International as of 06/30/1997.

To order by POSTAL fill out this form and mail to above address.

WE'LL CONFIRM YOUR ORDER BY RETURN EMAIL IN 12-24 HOURS.

We accept VISA, MasterCard, AMEX, JCB and Discover cards.

PRICES shown are effective May 1999. We do our best to update the PRICES, but
sometimes others copy our pages and post them in other locations without our knowledge.
WE will ALWAYS confirm your order by return email within 12-24 hours!

SHIPPING; POSTAGE, PACKING AND INSURANCE FOR CDs TO US POST OFFICES (USA, ALASKA, APO/TERRITORIES, HAWAII, ECT) IS $3.00 FOR the FIRST CD, AND $2.00 for EACH ADDITIONAL CD. Other areas, please send us email for details.

SHIPPING; POSTAGE, FOR OTHER ITEMS TO US POST OFFCES (USA, ALASKA, APO/TERRITORIES, HAWAII, ECT) IS STANDARD US 'DOMESTIC' ZONE #8 RATES, PACKING AND INSURANCE fee depends on the size and weight of the box(es).
Guam is "US PO Domestic Zone #8 Rates" same as Hawaii. Other areas, please send us email for details.

We WILL advise you of SHIPPING CHARGES when we confirm your order.

Please NOTE; not all CDs are in stock at all times. We buy from local vendors, and they are
sometimes out of a few titles. Usually we have at least 50 titles in our store!

THANK YOU!