ORDER FORM
Tangoleva
Order by PHONE:
Order by FAX:
Order by MAIL:
Order by E-MAIL:
Toll Free 877-92-TANGO (877-928-2646)
505-438-1170
451 Nazario St.   Santa Fe, NM 87501 USA
INFO@TANGOLEVA.COM

Please print this form for use
with fax and mail orders.

Click here for more info on ordering.

BILLING INFORMATION     *required for credit card orders

NAME ________________________________________________

ADDRESS ____________________________________________

CITY, STATE, ZIP _______________________________________

PHONE  (HOME)_______________________ (WORK)______________________

EMAIL ________________________________________________

SHIP TO

NAME ________________________________________________

ADDRESS ____________________________________________

CITY, STATE, ZIP _______________________________________

PHONE  (HOME)_______________________ (WORK)______________________

EMAIL ________________________________________________

 
METHOD OF PAYMENT

__ AMERICAN EXPRESS    __ MASTER CARD
__ VISA    __ MONEY ORDER    __ CHECK
      __ PAYPAL   info@tangoleva.com

ACCOUNT NUMBER

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

__________________(MM/YY)
EXPIRATION DATE

__________________
3-DIGIT CODE (MC & VISA: Last 3 digits found on the back of your card)
4-DIGIT CODE (AM EX: 4 digits found on the front of your card)

_______________________________________
SIGNATURE

ITEM #
DESCRIPTION
1ST COLOR CHOICE
2ND COLOR CHOICE
SIZE
PRICE
           
           
           
           
           
SHIPPING & HANDLING CHARGES                                        *EXPRESS DELIVERY
$0 - $25.00               $6.95                                   For Fed Ex charges for the folowing delivery options, please call or email.
$25.01 - $45.00        $8.95                                  Overnight
$45.01 - $75.00        $10.95                                  Overnight Saturday delivery      
$75.01 - $95.00        $12.95                                2nd Day                       
$95.01 - $135.00      $14.95
$135.01 - $175.00    $16.95                                                      *INTERNATIONAL SHIPPING
$175.01 - $250.00    $18.95                                               Please call or email for shipping costs.
$250.01 - $399.00    $20.95
OVER $400.00      5% of merchandise total

MERCHANDISE TOTAL  
SALES TAX
for NM only, add 8.036%
 
STANDARD SHIPPING CHARGE   *See Chart on left.  
EXPRESS DELIVERY CHARGE   *Please call or email for cost.  
TOTAL  

If you are not completely satisfied with your Tangoleva purchase, please return item(s) within 15 days of the delivery date for an exchange or refund. Place item(s) in a secure package, making sure it is insured, prepaid and has a tracking or delivery confirmation number.