Yandre & Teague, Ltd.
 * P.O. Box 707 * Virginia City, NV 89440-0707
Phone & FAX (775) 847-9215
This Order Form may be printed and mailed, FAX or call in the order to your favorite store, or sent to us via e-mail by pressing the SUBMIT button below. Thank you! We appreciate your business!

Yandre & Teague, Ltd. LAYAWAY FORM

Item #

Description

Qty.

Price

Subtotal

Order total:

Tax:

Nevada Residents add 7% Sales Tax

For shipping charges:  see chart below

Shipping:

Use for Gift Certificates or other Credit

Credits:

Total:

Minimum Due is 25% of Total

Down Payment

Balance Due:

Name:

Address:

City:

State/Prov:

Country:

Zip/Post. code:

Phone:

E-mail:

*This credit card information may be sent to an unsecured site and may be visible to others.

Method of Payment

Check or M.O.

Discover Card

Payments in U.S. Funds Only

Visa

MasterCard

American Express

Credit Card #:

Exp. date:

*NOTE: When you press the SUBMIT option above, your order is transmitted electronically to our e-mail. As and alternative, you may print this form and mail it to the address above or call your favorite store directly to place your order.

LAYAWAY POLICY: 25% of the Total Due amount is required as Down payment. The remaining  BALANCE DUE amount is to be paid over the next three (3) consecutive months in three payments equal to or greater than the amount of the Down Payment. Deposits, down Payment, and any other payments are non-refundable if the customer does not pay in full within the agreed upon 90 days - unless, and only if, any other arrangements are authorized and signed by a store manager. You are welcome to pay the balance due at any time within the 90 day period. NO CARRYING CHARGES. NO INTEREST CHARGES. Customer signature required to process order when submitted by mail and constitutes agreement to terms. Submission of this form through e-mail option also constitutes agreement to terms.

Customer Signature: _________________________________________  Date: ____________

NOTE: Names and personal data are requested solely for the purpose of serving you, our valued customer, and under no circumstance will this information be sold or otherwise distributed in any form. Thank You! We appreciate your business!  Check here if you do NOT want to receive notice of specials and info from us.

________

Shipping & Handling Chart within Continental USA
Up to $50 please write in $5.50/ for Express write $11.50
$51 - $100 please write in $6.95/ for Express write $13.95
$101 - $200 please write in $11.95/ for Express write $18.95
$201 - $300 please write in $16.95/ for Express write $23.95
$301 - $500 please write in $21.95/ for Express write $28.95
No charge for any order over $500 

For Delivery Outside Continental USA, FAX for Quote

Quick
Service!
Call the store of your choice to order by phone with your credit card info!