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House of Lloyd, Inc. ORDER FORM  
Personal Shopper Dept.  
P.O. Box 419705 Every order must include a Demonstrator Number.
Kansas City, Mo. 64141-6705 Need more room? Attach an additional piece of paper.
Demonstrator ID Number: 572716966
Demonstrator's Name: Heather Goodson
Customer's Name:_________________________________________________  
Address:_________________________________________________________
City:________________________________________State:______________
Telephone Number: (________)_______________________________________
Phone numbers are required on all orders. Please write daytime phone number.
Phone Your Order In. $25.00 Minimum Purchase, Please.
Call 8:00 a.m. - 4:30 p.m. (CT) Monday - Friday. Call Toll Free 1-800-733-2465 or you may FAX your order to us at (816) 767-2788 and charge to VISA, MASTERCARD, OR DISCOVER
Please do not order any 300 item numbers (other than Bonus Buys), or order will be returned.
QTY. ITEM NUMBER ITEM DESCRIPTION PRICE EXTENSION
               
               
               
               
               
Bonus Buy Specials
               
               
               
- - - - - 1/2 Price Special Buy - -
- - - - - ( With qualifying $50.00 purchase ) Full Price 1/2 Price
1              
Merchandise Total +
Shipping Charges - See Appropriate Table Below +
State & Local Tax Rate:_____%. State & Local Tax Amount +
Enclose your money order, check, or credit card number for the GRAND TOTAL =

Personal Shopper Order Form Information

Continental USA Shipping Charges
Product Total Regular Delivery 2nd Day Express 3 Day Air Express
25.00 - 49.99 $ 3.50 $ 10.00 $ 7.00
50.00 - 74.99 $ 5.00 $ 12.00 $ 8.00
75.00 - 99.99 $ 8.00 $ 15.00 $ 10.00
100 - 199.99 $ 10.00 $ 20.00 $ 15.00
200 - 299.99 $ 12.00 $ 30.00 $ 20.00
300 - 399.99 $ 14.00 $ 40.00 $ 25.00
Over $400.00 8% of total order 5% of total order 10% of total order

Call 8:00 a.m. - 4:30 p.m. (CT) Monday - Friday. Call Toll Free 1-800-733-2465 or you may FAX your order to us at (816)767-2788 and charge to VISA, MASTERCARD, OR DISCOVER

Bonus Buy Specials - For Every $25 in merchandise you order, you may purchase one (1) Bonus Buy item at the Bonus Buy price.
1/2 Price Specials - With a minimum retail order of $50, you qualify to purchase one (1) item with a retail value up to the amount of your order at half price in addition to purchasing Bonus Buy items. For example: With a $50 purchase, you would qualify to purchase any one (1) item in the catalog with a retail value up to $50 for half price, as well as (2) Bonus Buy items.

Regular delivery is 10-14 business days

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