






QUOTE REQUEST / PRE-ORDER SUBMISSION FORM
Using this form does not indicate a 100% confirmed order. All orders will subsequently be confirmed either by phone, e-mail or fax
Pay Securely With: PLEASE READ OUR (FAQ) FREQUENTLY ASKED QUESTIONS BEFORE YOU PLACE AN ORDER WITH US OR SEND US AN EMAIL REQUEST.
What would you
like to order ? Pallet ID (if applicable) Quantity (how many lots, pcs, or pallets) If you have already
received a shipping quote from us please indicate the amount here ?
Do you have a
re-seller's certificate (leave unchanged if you are not a
resident of Washington State) How would you like to
pay (more info)
? Additional Comments
about order and/or delivery How would you like to be contacted in
order to confirm Total Cost, Order and Payment Conditions of
Purchase I understand that all Department Store Merchandise
purchased from Jackson Worldwide are part of Department Store
Return Loads unless otherwise specified. I have
read the FAQ page and I am aware of
both the potential risks and profits involved in purchasing such
items and understand that all items are sold AS-IS with no
Guarantee, warranty or claims, express or implied as to merchandise
fitness or marketability. There are no returns, exchanges or
credit. I agree to the above conditions of purchase If you are a new
customer please take one moment to answer the following
question: Thank
You !! (please press submit button below once - depending on your
connection speed it may take up to 2 min for your order to be
submitted)
OR
, American Express, Discover, Diners, JBC, and Electronic Check. US Domestic Personal or Business Check (Check must clear the bank before we release the goods), OR Bank WireTransfer (T/T) We no longer accept International Bank Drafts/Cheques, or International Money Orders due to the high fraudulent activity associated with using them, and our past expierence associated with accepting them as payment. THERE ARE NO EXCEPTIONS PLEASE DO NOT ASK . Truckload orders and all orders that Total over $500 including shipping costs must make payment by Wire Transfer (T/T) THERE ARE NO EXCEPTIONS PLEASE DO NOT ASK .
Listing # & Description
How did you hear about us (you may select more then one)?