BLJ's Mail / Fax Order Form

 Print out and mail or fax this form to the below address

Fax  phone #  706-364-8847

Toll Free #  1-877-207-4980

BLJ's Enterprises

PO Box 204061

Augusta, GA

30917 

                                                                                                                                               

 

First Name:	Last Name:
Street Address:
City:	State:	Zip Code:
Country:	County:
E-mail:	Phone:
Name On Credit Card:
Credit Card #:	Expires: CCV Code #
Circle One: VISA   MASTER CARD   AMERICAN EXPRESS   DISCOVER   MONEY ORDER

Quantity:	Product Number:	Description:	Price:	Total Price:
Subtotal:
*Tax:
**Shipping/Handling:
Total:

*If residence in Georgia add 7% sales tax.

Free Shipping over $100.00

$10.00 fee for orders under $100.00