Print this page and mail with your order.

 

Please Note:  Customers who wish to pay by check may order ahead by calling 1-800-786-1070. 

We will prepare your package for immediate shipment.  Your order will ship the day we receive your check . 

Most Pay-By-Check phone orders are shipped within 3 days, the time it takes for your check to reach us.

 

Click Here to Browse Through Our Store

 

Ordered By:

 

 Name:____________________________

 

Address:__________________________

 

_________________________________

 

City:_____________________________

 

State/Zip:_________________________

 

Phone:___________________________

 

E-mail______________________________

 

Mail Order Form

Xavier Gifts

Order Processing

31 Franklin Street

Amityville, New York 11701

Tel: 1-800-786-1070

 

Fax Order Form

1-888-890-0521

 

Phone Orders

1-800-786-1070

Payment:  Check _____  Money Order____  Layaway______

 

Credit Card #_________________________  Expiration Date_____________________

 

Cardholder Signature________________________________________

 

Description

Size

Color

Item #

Unit Price

Qty

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shipping Charges (when not listed on our website). 

For Irish Sweaters enter 0.00.

Up to $19.99 $5.95
Up to $59.99 $8.95
Up to $79.99 $12.95
Up to $99.99 $14.95
Over $100.00 $17.95

Enter Shipping  

Please use the back of this form for any Special Instructions or Questions you may have

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