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Lindeburg Logo

Lindeburg & Company Order Form
Print, Complete & Fax to:   (650) 592-4803

Name:  
Title:  
Organization:  
Mailing Address:  
Phone Number:  
Fax Number:  
E-mail address:  
Order Blank
  Quantity Item # Page # Description Price Total
1            
2            
3            
4            
5            
6            
7            
8            
9            
10            
Sub-Total  
In CA. Appropriate Tax  
Shipping (see chart below)  
Total  
Note: For Additional items, please attach your list on a separate piece of paper.
Special order merchandise and merchandise that is embossed or engraved may not be returned.
Please Include Shipping & Handling as Follows:  
If order is up to $5.00 add $ 2.95 Full Payment Enclosed - Check or Money Order o
If order is up to $10.00 add $ 3.95 Please charge my credit card:  
If order is up to $20.00 add $ 4.95 Visa o
If order is up to $30.00 add $ 5.95 Master Card o
If order is up to $50.00 add $ 6.95 American Express o
If order is up to $75.00 add $ 7.92 Discover o
Over $75.00 add $ 8.95 Card Number:
Add $7.00 extra for registered Mail   Expiration Date: (month / year) _________/_______
Credit Card Minimum Order $10.00
Credit Card Signature:

1-800-2-4-E-M-B-L-EM or 1-650-592-6275.
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Our Guarantee: We invite you to compare our merchandise with any other for quality, for price, and for service. Our quality, prices, and service challenge all comparison and competition. If you find upon examination, that the merchandise purchased does not come up to your expectations, you are welcome to return it immediately and your money will be promptly refunded. Satisfaction guaranteed or your money back--that's our motto.

**Special order merchandise and merchandise that is embossed or engraved may not be returned.