Welcome to Urn Xpress
Home Your Rights Urn Categories Contact Us Cremation Information About Us Tell A Friend Visit Godssimpleplan.org
Category :      
1-800-550-1172
TO : UrnXpress (Fax # (619) 477-4311)
FROM :
RE : Faxed Order



Order Form - Pewter Companions

Product Code - EU13144

Price - $369.00

The price quoted excludes applicable sales tax, & shipping charges.

Please Specify:
  Color
  Quantity  
  Commnents?:
 

Shipping Address:
  Name
  Address
  City, State, Zip:
  Is this a funeral home or a mortuary?


Call 1-800-550-1172 to confirm and if you have any questions.

Buyer Information:
Title
First Name
Last Name
Email
Address
City
State
Country
Zip Code
Phone
Alt Phone
Fax
County
Shipping Options   Overnight delivery
2 day rush delivery
3 day rush delivery
Overnight Saturday delivery
Standard delivery

Deceased Person Information:
First Name
Last Name
 



Method of Payment 
Bill this order to:

Name as it appears on the card:
Billing Address (Must be the billing address of the credit card)
Address line 2
City
State/Province   Zip Code  
Card Number  
Card Type       Mastercard
Discover Card
Visa
American Express
Expiration Date      
CVV2  What is CVV2?(Click Here)
Select: Please select one:
I have entered my CVV2 above
My card has no CVV2 imprint
My cards' CVV2 is illegible

As a courtesy, please tell us where you found us. Ex: Yellow Pages, Internet (Yahoo!, Excite, Lycos, MSN, AOL, Google, Nbci, Alta vista, HotBot, Overture, Looksmart, etc...). Your feedback is appreciated.




  © 1998 Urnxpress.com All Rights Reserved
All material on this website is protected by copyright, Copyright © 2005 by Urnxpress.com
Web Development & Maintenance by Gray Hat Web