Printable Order Form for Store Credits

XpressMart.com
---Printable Store Credit Form---

+PLUS+ Pennsylvania Residents Add 6% Sales Tax:

+PLUS+ *Shipping ($6.00 U.S. or $8.50 U.S. INSURED):

If the amount of your Store Credit is EQUAL to the Total Charges above, "we are even". In this case, enter your initials to the right and complete the shipping address below. Then, just submit this form as stated above (and your order will be processed):

If the amount of your Store Credit is GREATER than the Total Charges above, you still have a balance. Subtract the Total Charges above from the amount of your Store Credit and enter the balance to the right. In this case, simply enter your shipping address below and submit this form as stated above (and your order will be processed):

If the amount of your Store Credit is LESS than the Total Charges above, you owe a balance to complete your order. Subtract the amount of your Store Credit from the Total Charges above, and enter the BALANCE DUE to the right. You may then follow the instructions regarding PAYMENT METHODS provided below:

If there is a balance due, you will need to provide payment by money order, check, or credit card.

XpressMart.com ---Printable Store Credit Form---
This form was designed for those individuals who wish to use a Store Credit. Print out this form and complete all of the fields listed below and fax or mail it to Biros Merchandising as follows: Biros Merchandising, P.O. Box 162, Fredonia, PA 16124 Fax: 877-777-2824
STORE CREDIT NUMBER _________________ STORE CREDIT AMOUNT _________________
Below, please enter the items that you wish to purchase with your store credit.
ITEM NO.	DESCRIPTION	QUANTITY	PRICE	EXT. PRICE



TOTAL:
+PLUS+ Pennsylvania Residents Add 6% Sales Tax:				+
*+PLUS+ Shipping ($6.00 U.S. or $8.50 U.S. INSURED):**				+
Total Charges:
If the amount of your Store Credit is EQUAL to the Total Charges above, "we are even". In this case, enter your initials to the right and complete the shipping address below. Then, just submit this form as stated above (and your order will be processed):
If the amount of your Store Credit is GREATER than the Total Charges above, you still have a balance. Subtract the Total Charges above from the amount of your Store Credit and enter the balance to the right. In this case, simply enter your shipping address below and submit this form as stated above (and your order will be processed):
If the amount of your Store Credit is LESS than the Total Charges above, you owe a balance to complete your order. Subtract the amount of your Store Credit from the Total Charges above, and enter the BALANCE DUE to the right. You may then follow the instructions regarding PAYMENT METHODS provided below:
PLEASE PROVIDE A COMPLETE SHIPPING ADDRESS (print clearly):
Name:
Address:
City:
State:
Zip:
Phone:
Email:
PAYMENT METHODS:
If there is a balance due, you will need to provide payment by money order, check, or credit card.
If paying by Money Order or Check, please submit this form by mail (as stated above) and full payment for the total amount of the calculated BALANCE DUE to Biros Merchandising at the address at the top of this page.
If paying by Credit Card, you must submit this form by fax or mail (as stated above). You may then pay for the balance of your order on-line by going to: ON-LINE PURCHASE CUSTOM PURCHASE OPTION When using the above feature, you will need to enter the AM0UNT DUE on the web page. In this case, you must calculate the AMOUNT DUE as the BALANCE DUE (calculated above) LESS SHIPPING CHARGES (as shipping charges will be added to your order on-line at the time of checkout).