26 South Main St. - P.O. Box 417 - Leicester, MA 01524-0417
Telephone #: 508-892-1521
Website: www.cs-ne.com
Safe & Secure
24 Hour Fax Number
1-508-892-1514
Please call us to confirm
we received your order by fax.
Your Name:
Organization Name:
City or Town:
State: Zip Code:
Telephone #:
Fax #:
Date You Need Your Product(s)
Allow enough time for factory production and UPS shipping
EMail:
Credit Card or Debit Card Information
Our fax machines are safe & secure to receive your information.
Address and zip code where your credit card or debit card statement is received:
Credit or Debit Card Number:
Expiration Date:
Security Code:
Discover, Mastercard & Visa Security Code (3 digits) are located on the back of the card. American Express (4 digits) located on the front of the card.
Important Notes:
This transaction will appear on your
next credit card or debit bank statement as:
"Creative Services of New England"
Your personal information is NEVER
sold or rented to anyone.
Please check the production time listed with
each product, plus the additional UPS shipping time, which is 2 to 5 working days depending on
the state your located.
Thank You For Your Order!
Please call us... if you faxed your order to confirm that we received it by fax, call us at 508-892-1521
Name That Appears On The Credit or Debit Card
Print A Copy Of This Order Form Before You Send Online.
Street Address:
( No P.O. Box)
If you are sending this order online, do not fill in the credit card or debit card section,
we will call you for this information.
Quantity & Price Each Pen Barrel & Cap Color Writing Ink Color Imprint Color Imprint Location
Bic Executive Roller Pens
Only Massachusetts Residents and Businesses
will have a 6.25% Sales Tax added to their invoice.