Future Packaging Order Form

ORDER FORM

Future Packaging & Preservation
800.786.6627

Bill To:
NAME
ADDRESS
CITY
STATE	ZIP
E-MAIL
PHONE

ShipTo:
NAME
ADDRESS
CITY
STATE	ZIP
E-MAIL	(for shipping)
PHONE	(for shipping)

Payment Information

CREDIT CARD VISA MC DISCOVER/NOVUS AMEX CHECK/MONEY ORDER (SEE BELOW)

CREDIT CARD NUMBER SPECIAL CODE? EXPIRES

SIGNATURE ON CARD CORRECT "BILL TO" FOR CREDIT CARD? YES NO


ITEM NO.	DESCRIPTION	QTY	UNIT PRICE	EXT. PRICE









SUBTOTAL
HANDLING FEES
(see shipping chart for estimate) SHIPPING
(9.75% if you are in California) CA TAX
TOTAL

Mail Check & Order Form to:

Future Packaging & Preservation
544 E. Edna Place
Covina CA 91723

We also accept institutional purchase orders.

or Fax order form to (626) 966-5779 with Credit Card info.

PayPal is now accepted for payment. Send your payment to sales@futurepkg.com and you must also send us a note with your order info to let us know.

Note: Shipping for capsules is usually “prepay and add”. Rates given here are estimated & are based on domestic US shipment only (UPS) and exclude AK, HI and International Shipments. We can ship USPS or FedEx. Please call our office for an exact shipping quote on these & air shipments (Next Day, 2-Day, & 3-Day). Use a separate sheet of paper to indicate your wording for plaques, engraving.