Mail & Fax Order Form | Temple of Thai


	Simply print this form and fill in the information to order by fax or phone. If you have any questions please contact us via email. Thank you!

Temple of Thai	Fax Order Form and Phone Order Planner
Fax (877) 811-8773
Phone or Voice Message:
Toll Free (877) 811-8773
Your Information:
Your email address:
Please include your phone number to assist UPS shipping only:
Home phone:
Alternate phone:
Bill to:
Name (First,last,middle):
Address (Street,Apt.):
City/State:
Zip:

Ship to (if different):	*Must be a physical address, no P.O. Box, APO, etc.*
Name:
Address:
City/State:
Zip:
Phone of recipient:

Your order:
Item name	Quantity	Price for one	Total price







*use more pages if needed
*Please note there is a $20 minimum BEFORE shipping.

For Credit Order Enter your account number for one of the cards listed and sign below.	Money Orders or Western Union are accepted for international orders only please contact us.
Discover	Merchandise total amount	$
Visa	*Amount for shipping and handling	$
Mastercard	Total for the order	$
American Express	Total for the order	$
Expiration date __/__	We do not accept COD orders. Do not send currency. Include payment for shipping and handling.

Charge this order to my Credit Account as I have indicated, to be paid according to the current terms of that account.

*Important: To determine the shipping cost before ordering email us at


	Authorized credit card signature

Your special instructions to Temple of Thai:

For Temple of Thai Use only please:

Thank you very much!