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Mail Order Blank
and Phone
Order Planner
HOME PHONE NUMBER of the household placing the order It helps speed up yourorder.
Please be sure
I
II
I
to include
area code.
'-----------'
Name (Use the same name for ALL orders from your household)
(first. middle initial, last)
Apt.
I
'--------
Present Address
City/State
Zip
MAIL THIS ORDER TO:
J.C. Penney Company, Inc.
(Find correct address on page 436)
ANY CHANGE in your name. address or phone numbersince your last order?
If so. please complete this entire section.
Former Name {first.
middle 11"'rt1al.
last)
Former Address
City/State
Former Horne Pnore Number
Today's Date
I I
JCPenney CHARGE ACCOUNT NUMBER (if there is one for this household). It helps us process both
CASH and
ALTERNATE PHONE NUMBER
(When will you be there?)
Time
CREDIT orders.
11
11
I
LJ LJ
Page
No.
Name of item
(1or 2words)
Letter(s)
Catalog Number
Leiler(s)
Color. Pattern
Size
Finish. Style, Etc.
How Many Mono-
(measure
1----~~~---J(Pkgs.
Ea.
gram
to be sure)
No. or
Name
etc.)
Initials
Code
Price For
One (Pkg.
e
CREDIT ORDERS, Please complete credit
information below. To place a MAJOR
PURCHASE CHARGE, your order must total
$200
or more.
e
SORRY, WE DO NOT ACCEPT C.O.D.
ORDERS.
• CASH CUSTOMERS. Please pay by check or money order
in U .S. dollars. Do not send stamps or currency. Include
payment for shipping-and-handling charge. See page
436.
Orders containing any Class C items must be sent by truck.
See page
436.
• For additional order blanks-call
1-800-222-6161.
Ea. etc)
Complete this section if this 1s a
CREDIT ORDER
0
Would you like to OPEN
Complete this section if this is a
CASH ORDER
Check only ONE box. Enter your account number (Penney's
above, other charge cards below) and sign below.
aJCPenney Charge
Account for both regular
and major purchase items?
Just check the circle,
sign below and see
D
JCPenney Regular Charge
page
438.
D
JCPenney Major Purchase Charge
0
VISA
0
MasterCard
0
American Express
Charge card number for VISA.
MasterCard, American Express. or Discover Card
Charge this order to
my
Charge Account as Ihave indicated,
to be paid according to the current terms of that account.
Authorized
Expiration
Date
Mo.
Yr.
charge card
SIGNATURE------------------
To SHIP to ANOTHER PERSON or ADDRESS ..Just tell us who and where
Name (first. middle initial, last)
Address
City/State
A.P.O./F.P.O. Orders that quality are routed SAM unless you
indicate PAL here. Orders not qualifying are sent Parcel Post
For orders to Alaska and Hawaii and all U.S. Possessions andTerritories,
we will ship via Parcel Post unless you indicate Air Parcel Post here.
For orders within the continental U.S., we will ship via U.P.S.
unless you 1nd1cate Regular Parcel Post.
0
Discover Card
Interbank No.
(tor MasterCard)
Apt.
Zip
0
P.A.L.
0
Air Parcel
Post
0
Regular
Parcel Post
MERCHANDISE TOTAL
AMOUNT FOR DELIVERY
SALES TAXES
(See page
436)
If you owe money on a previous JCPenney
CASH order, please enter that amount
Total of this order plus balance owed
from a previous JCPenney CASH order
s
s
$
s
should be your TOTAL PAYMENT
S
JC
Penney
CATALOG
For
CJAM
CPM
Total
Price
use
Delivery
Weights
(for Cash
orders only)
TOTAL
WEIGHT
(Add like
dollars
and cents)
ENTER
TOTAL
HERE
above
weight.
For Class A&
8 orders. see
page 436.
For Class C
orders. see
page 436
X-94
JCPenney
437