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FAX Order Form

To fax your order, please fill out this form and fax it to 401-782-3840. We ship Monday to Thursday, with delivery Tuesday to Friday (no Sundays or Mondays). Shipping charges will be added to your order.

Please see our shipping page for sample rates! (Ship weight is product, ice, box, and styrofoam)! Saturday delivery, when available, is an additional charge of $20.00 per box. A Lobsterguy representative will contact you. If Sat delivery is desired, a 2nd charge on your credit card will be added.

Delivery signature required? If no, LobsterGuy.com will not be held responsible for the shipment! Please ship to your office or ensure someone is home to sign for delivery! _________


Date to ship and deliver? Example: Ship Tue,Aug 4 for delivery Wed, Aug 5



___________________________________________
SHIPPING ADDRESS...where you want your order shipped?
Name:____________________________________
Shipping phone #:___________________________
Address:__________________________________
Address/Apt:_______________________________
City:_______________________State:________Zip:_____________
Short message to receiver:___________________________________

BILLING ADDRESS: where your credit card bill is sent
Name:____________________________________
Email:____________________________________
Billing Phone #:_____________________________
Address:__________________________________
Address/Apt:_______________________________
City:_______________________State:________Zip:___________

CreditCard:Visa___MasterCard____AmericanExpress____Diner'sClub____
Credit Card Number:_______________________
Expiration Date:___________________________

Ship products_____or Gift Certificate____Please enter items:
Item 1:_________________________Quantity_____$______

Item 2:_________________________Quantity_____$______

Item 3:_________________________Quantity_____$______

Item 4:_________________________Quantity_____$______

Please call us at 1-866-788-0004 (Toll Free) if you have any questions. If you prefer to fax your order, please print out our fax form and fax it to 401-782-3840.


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