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TM

 SUNJEL GEL FUEL FIREPLACES FAX ORDER FORM:
 

Name  _______________________________________ Email Address_________________________________

                                       (as it appears on the card)

* Billing Address ____________________________________________________________________________

                                  (Must be the same address the Credit Card Company sends the Bill to)

City/State/Zip _______________________________________________________________________________

*Shipping Address ___________________________________________________________________________

                                 (If the Shipping address is the same as the Billing address put "SAME" above)

City/State/Zip ________________________________________________________________________________

MC/VISA/AMEXP/DEBIT CARD # _______________________________________________________________

Exp Date__________________        CVC # on back of card ___________________

Signature _________________________________________ Phone w/ Area Code _______________________

ITEMS ORDERING:    ___________________________________________________         $_______________

_____________________________________________________________________           $_______________

_____________________________________________________________________           $_______________

                                                               FREE SHIPPING ON EVERYTHING!!!    Total   $ ______________

Special Instructions: __________________________________________________________________________

________________________________________________________________________________

Credit Card Orders...

 Please Print and Fax Your Order To 1-(800)-698-0818

Or Mail this Order Form to:

 

sunjelfireplaces.com / P.O. Box 185 / Jackson, WI  53037


Paying by Check?  Mail this Order Form along with a Personal Check, Cashiers Check or Money order

MAKE CHECKS PAYABLE TO 2 BURN, INC