5391 Three Notched Road Crozet, VA 22932
Ordered by: (Please make any name/address corrections below.)
Ship to: (If different than “ordered by.”)
Name ______________________________________________________________________ Address ___________________________________________________ Apt.# _____________ City
Elvis Insider Member Number ___________________ Page No. Item Number Color Size Zip ________
___________________________________________________ State _____________ Daytime Phone ____________________________ E-mail Address ___________
Description Quantity Price Each Total
Subtotal
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American Express Check or Money Order
Made payable to Elvis Catalog. Paying by check or money order will require 10 days for processing.
** SALES/USE TAX IS APPLIED ON TAXABLE MERCHANDISE. Any order not containing the correct sales tax amount will be returned to sender.
CALL US! Toll Free 1.888.ELVIS ROCKS
(1.888.358.4776)
Mon. - Thurs. 9 AM - Midnight EST Fri. 9 AM - 8 PM EST Online:
www.ShopElvis.com/Catalog
Method of Payment
Account # Signature
Expiration Date
Please visit
www.ShopElvis.com/Catalog for exact shipping prices or call one of our Customer Service Representatives: 1-888-ELVIS-ROCKS
Enter Promo Code Offer
Shipping & Handling* Elvis Insider Member
Discount 10% Sales Tax**
(Add applicable Sales Tax for your state to ensure your order is processed.)
TOTAL
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