If you prefer not to order on line, please complete the following information, press "print" to print  the form, and fax the form to us at 650.728.7932, or mail it to Coastal Classic Creations, P.O. Box 370613, Montara, CA  94037-0613, Attn:  Order Department. Please make sure to include your credit card number, including expiration date, on this form.  Failure to do so will result in a delay in the processing of your order.  

If you are paying by personal check and live in the United States, please e-mail us via our Contact Information page with a brief note as to the items requested and your state of residence. We will notify you of the shipping and/or sales tax charges, so that you may forward along your personal check. Please make sure to include this form with your check.

Credit Card Type:____________________________________
Credit Card No: _____________________________________
Expiration Date:_____________________________________

I agree to the Terms of Service and I have read the Ordering Information page of Coastal Classic Creations-A California Corporation and CoastalClassicCreations.com Online._____________(initial here) (Must be completed for either fax or mail orders). 

This form must acccompany both fax and mail orders.