This form is for
both customers and dealers who want to place their orders online and
make payments by PayPal.
we only accept
CASH payments or
direct bank cash
You MUST have a valid email
address that we can contact you with. If you do not have a valid email
address then you should Postal Mail Your Orders To us. We recommend you send us a
"permanent" email address. WE WILL NOT give your email address to
anyone. We are against email spamming and do not tolerate it in
any way shape or form! WE WILL NOT use your email address for any
solicitation purposes within our company. We hope you will do
the same with our special VIP email address we send to you as well.
Any dealer who is caught using our site or our email addresses in spam
will lose their dealership rights... period!
If you do not use
PayPal and require another form of payment please email us using our
contact form. I
will see what I can do for you.
Please note that you are responsible for additional fees incurred when
and if any errors made based on any information you supply us with
when choosing to use this form of order processing. When in
doubt you should use the "traditional" method of mailing the original
order and payment to:
HomeIncome Publishing Group
PO Box 399
Lubec, ME. 04652
all the information listed below is required. You may only fill out
the information that you think is enough for us to find our original
offers' flyer in our office that will match the offer in your hands.
The most important information to convey to us is the InfoPAK#, Page
#, Flyer/ad Headline, total amount you will pay, total amount your
customer paid you and what check boxes your customer has checked on
the original order form. The latter information is usually
enough for us to keep things in "check and balanced" and help us
prevent order mistakes. If you are new to the Internet or Mail Order
just try your best and we will be here to help the best we can for
your own success! With your help we will try our best to help
you give your customers the most professional service possible.
Regardless of your experience we will help you "look like a PRO"!
YOUR CONTACT INFORMATION:
that if you are a dealer for this offer, this contact information
must be the same as that which you are registered under as dealer.
Is this purchase for
Are you a dealer of this offer
Home Phone (not required):
Please note: We do not offer
telephone customer support so we do not make phone calls. All
processing is automatic and all questions can be answered 24/7 via
email or via postal mail. If by postal mail please include an
LSASE for reply.
ORIGINAL ORDER FLYER DESCRIPTION INFORMATION:
Note: Because we have many specials and
different types of offers. These items help us determine the nature of
the flyer/ad of the original offer.
Please state the major headline that stands out most in the flyer that best
describes the original offer:
following items as they apply and if they appear on your original
order flyer or ad you can usually find these items someplace in the
form. Enter N/A in the box if you cannot find this information
or if it does not apply.
(If available, this is usually on the catalog cover or at the
bottom of the flyer)
Product Code #:
(If available, this is usually in the bottom fill-in part of the
Option # of offer (If available, usually this is a check box
in the order form fill-out):
Page # on Flyer (usually the
lower right hand corner):
(If available, bottom right corner)
Size of original order form (ie., 8x11, 5x8, 1"
ad, 2" ad, etc.):
What is printed on the flyer on
the very bottom.
(N/A if nothing is there
or N/A if you already supplied the other identifying items above ):
information is to help us better understand more about your order so
we get it right.
Are you ordering as a dealer or is this the first time purchase of
am ordering as a dealer.
is my first time purchase of this offer.
What does the total payment you
are sending represent (check one):
First-Time Retail cost
What is the retail cost
represented on the flyer?
(ie., $10 +10 F/C
What is the dealer cost represented on the flyer?
(ie., $10, 10 F/C Stamps, etc.)
If stamps are involved as part of payment in
the offer please
multiply the # of stamps required times the current first class
postage rates and include that
amount in your payment. List here this postage amount.
Is there an imprint fee stated on
the original order form
If YES then enter the amount you are including here
and include that in your payment total.
Is imprint required?
If so please print the exact details you want imprinted on
(Please keep this to within 3 lines if
YOUR CUSTOMER INFORMATION:
information only applies if this order if not for yourself and you
require us to fill your customers order.
Customer e-Mail Address
Who do you want us to ship this order to?
(Self -as in your
address at the top of this form)
(as in address above)
Please enter any Other Comments or Details Below
that will help us fill your order. For example,
Other items checked or filled in by the customer (or you) that are not
listed above and that will help us better understand what the customer
wants and expects to get. (optional):
State the Amount you received from the customer (not including stamps
State number of stamps you received from customer and denomination
State the Amount you received from the customer (in "non-stamps"
Customer hereby affirms and
use of this web site and all sales or production request resulting
thereof are subject to the Terms and Conditions as outlined in
By submitting this order you are creating and electronic signature and
agree to be bound by the terms of this sale.
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IF ORDERING BY MAIL :
If paying by check (+ 14 days to process) or money order please Make
Send this form or the original mail order form To:
PO Box 399
Lubec, ME. 04652 USA