Name: Address: City: St: ZIP: PH#: FAX: E-mail:
Ship To Address: Leave blank if same as above.
Name: Address: City: St: ZIP:
Select type of payment: Check Money Order
Please go ahead and summit this form before making a print copy. Send your check or Money Order (a copy of the order is optional) by regular mail. Mail to and make payment to: CharlyBox; PO Box 1332, Cornelius, NC 28031
Shipping Options. Ground Commercial (GNDCOM) Ground Residential (GNDRES) Ground Trac Commercial (GTRCOM) Ground Trac Residential (GTRRES) 3 Day Select (3DS) 2 Day Air (2DA) Other (Specify in special instructions) All shipments will be Ground Commercial unless otherwise specified.
To determine shipping cost you will need the TOTAL WEIGHT; Ship From ZIP Code 28166 and ShipTo ZIP Code __________ and Shipping Option: then go to UPS Quick Cost Calculator
If you need help, please E-Mail us with the description of what you want at CharlyBox Sales or you can call 704-881-9039 or write to the address shown below.
If you have any special instructions or comments, you can enter them here: