WATERLOO MINIS
Henry Clay Shopping Center
401-B England St., Ashland, VA 23005

CELL: 804-512-7691
SHOP: 804-752-7779

NEW STORE HOURS:
Wed. and Thur.  5:30pm - 9:30pm
Friday 4pm to 11pm +
Saturday noon to 6pm +
Closed Sunday

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Essex Order Form

This is ONLY an Order Form - We will be sending you an Invoice.

This is an Order Form for Essex Brand Miniatures from Waterloo Minis. We can only sell to the United States and only orders in the Continental 48 states will ship free, all others will be charged for shipping - see Item under Products and choose your preferred Carrier & method of delivery. All items subject to Free Shipping will either be USPS Priority or Parcel Post or UPS/DHL Ground. If you wish faster delivery, please say so in comments field. Please WAIT for a confirmation by email before you send payment. Thank You for choosing Waterloo Minis, Ashland, VA 23005

Select any of the following options that apply:

Please send me 15 mm Essex Miniatures.
Please send me 25 mm Essex Miniatures.
Your help or advise is needed on my selection.
I will be paying with PayPal or a Credit Card.
I will be paying with a Personal USA funded Check.
I will be paying with a Money Order.
Please send me an invoice for my Order by Email.
Please send me an invoice by mail.

Please provide the following contact information -
your email address is required for a reply (& configure your email to get our reply).
Name
Organization   optional
Street Address
Address (cont.)
City
State
Zip/Postal Code   Zip + 4
Work Phone   if needed
Home Phone
FAX   Optional
E-mail   required
URL   Optional
Please provide the following ordering information, we do not want you to enter your credit card information here for security reasons. You may call us and charge by phone. Our invoice will direct you to PayPal where you may use your PayPal account OR your regular Credit-Debit Card after we have sent you an Invoice.
BILLING
Credit Card Name
or PayPal Email Name

If your Shipping Address is the same as Your Contact Address above, leave blank.

SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Please provide the following product information - Product Name Example (Ancients) Model Example (Achaemenid Persians) Product Code (E-MEPA66-15mm) & Quantity & Price Each  if known. Info available from the Essex UK Website - Main Link for Essex in the UK
Product Name
Model
Product Code
Quantity
Price Each
Product Name
Model
Product Code
Quantity
Price Each
Product Name
Model
Product Code
Quantity
Price Each
   
Product Name
Model
Product Code
Quantity
Price Each
   
Product Name
Model
Product Code
Quantity
Price Each
   
Product Name
Model
Product Code
Quantity
Price Each
   
Product Name
Model
Product Code
Quantity
Price Each
   
Product Name
Model
Product Code
Quantity
Price Each
   
Product Name
Model
Product Code
Quantity
Price Each
   
Product Name
Model
Product Code
Quantity
Price Each
   
Product Name
Model
Product Code
Quantity
Price Each
   
Product Name
Model
Product Code
Quantity
Price Each
   
I estimate my Total to Be:
I have a Store Credit from a Return
I am outside of the Continental US, please Add shipping by:
Additional Comments:


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© Waterloo Miniatures & Terrain 2008; contact Us for questions on this Order Form.: contactus@waterloo-minis.com  thank You.

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