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HomeContact Us by EmailLog-In to your AccountPlace Your Order Off-LineCustomer Service &  Other InformationSee Your Shopping Cart

Order Form for Offline Ordering

Click for Printable PageWould you rather order your products offline? If so, just print (2 pages) this page or click here for a printable page. Use the information from any online page to fill in the product number, description and price. Address all orders to:

Tobacco Station Order Dept.
                   6225 N Lamar Ave, Austin TX 78752
                       Or Fax To: 512-454-6810(24/7)



Click for information concerning our Privacy Policy, Shipping Policy or Age Policy.


Billing Information Shipping Information
*Order Date___________________ (If Different Than Billing)
*Name_________________________________ Name_________________________________
*Address_______________________________ Address_______________________________
______________________________________ ______________________________________
*City___________________________________ City___________________________________
*State ___________ *Zip_____________ State ___________Zip_____________
*Phone _______-___________________ Member User Name ________________
*E-Mail ___________________________
*Birthdate (MMDDYY) _____/_____/_____
* = Required

Qty.

Item Number Item Description Price Ea. Total
      $ $
      $ $
      $ $
      $ $
      $ $
      $ $
    Subtotal $
    Enter Coupon Code ____________ Discount*    - $
    Shipping & Handling - See Below   Shipping      + $
   *Discounts may be based on Quantity or special Coupons. Discounts will be adjusted by us if incorrectly calculated. Grand Total $
trans.gif (78 bytes)

Shipping & Handling

Payment Information

Shipment Type

Add

Money Order Enclosed

48 States $8.95

Visa  MasterCard   Discover

Alaska/Hawaii $16.95

Card Number_________________________________

 

 

  Expiration Date:     Month ______  Year_______
 

 

  Print the full name on your Credit Card below:
__________________________________
 

 

 

Signature ___________________________________

1st-time Customer orders may require an Adult Signature and Valid ID at delivery!
When finished printing, click here to return to your previous page.


Questions? Information? E-mail us at orders@tobaccostation.com


Stations, LLC
6225 N Lamar
Austin TX 78752

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