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Custom System Order Form
NC residents will be charged 6% sales tax.  

Customer ID # (Provided by e-mail):
Note: If more than one ID number please separate by commas.

Sorry, but at this we will only ship to US addresses, no overseas orders will be accepted.
All orders are shipped UPS ground.  
Shipping and Billing Information:  
Note: We will only ship to your billing address (NO PO Boxes).

 Name:

 Address 1:

 Address 2:

 City:

State:

 Zip Code:

 Email Address:

For order comfirmation Only.

Telephone:

Ext.:

 Alt. Telephone:

Ext.:

Payment Information:  

If you wish to pay by check, fill in the appropriate areas of the online order form
and use your browser's print option to print the order form. Then mail the form along with your check (made payable to Creative Solutions) to:

Creative Solutions
P.O. Box 699
Stoneville NC. 27048-0699

Note: Checks will be processed before filling orders.

 Note: If you wish, you may leave the credit fields blank and we will contact you by telephone to get your credit card information.

 Card Type:

(Note: your billing will show a transaction by cybermarketing.).

 Credit Card #:

 Expiration Date:

  Month Year
Optional:  
Where did you hear about our site:
Special Instructions/Additional Information:
Do you wish to receive email from us on special offers and events?
 

By submitting this order, I am stating that I am 18 years of age or older and
I have read and understood the rules as stated in the ordering instructions.