Print, Fill Out and Fax
Purchased From: Famous Faces, Inc.

333 Troy Circle, Suite C

Knoxville, TN 37919

Phone/Fax: 1-888-696-6468

www.famousfacesinc.com
Shipped From: Famous Faces, Inc.

333 Troy Circle, Suite C

Knoxville, TN 37919

Phone/Fax: 1-888-696-6468

www.famousfacesinc.com
Purchased By: (Please use address to which your credit card statements are mailed) Ship To: (Please complete if addressee or address is different from "Purchased By")
Name
Name
Address
Address
City, ST, ZIP
City, ST, ZIP
Day Phone
Day Phone
Night Phone
e-mail
QTY Item Description Unit Cost Total
Color Color $398.95 Color
Color Color $398.95 Color
Color Color $398.95 Color
Color Color $398.95 Color
Color Color Subtotal Color
Sales Tax (Tennessee Residents Only Must Pay 8.25% Sales Tax) C olor
Shipping (UPS Reg. Ground Insured / Sig. Required, $19.65 Per Casting) Color
TOTAL Color
Method of Payment:

(circle one)
Visa MasterCard American Express Discover/Novus
Credit Card Number: Expiration Date:
Additional Cardholder ID Authentication (Drivers License Number and State):
Notice: For your protection against credit card fraud, we require that all requested payment information be completed in the blocks provided above. As an additional security, orders placed with a different ship to address are subject to phone verification prior to processing and shipment. Unfortunately, these safeguards are necessary for your protection against credit card fraud.

By providing the information requested above and your dated signature below, you hereby authorize Famous Faces, Inc. to place a charge against the credit card account you supplied above and acknowledge that you have read and accept the "Terms and Conditions of Sale" on the Famous Faces, Inc. web site, from which you printed this fax-back order form. Fax back to Famous Faces, Inc. at 1-888-696-6468.
SIGN HERE
DATE