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East of the Mississippi:
West of the Mississippi:
Mail Order blank
MAIL oR
and Phone Order planner
FAX
THIS
lfYouuve-
J.C. Penney Company, Inc.
Catalog Division
Or
J.C. Penney Company, Inc.
Catalog Division
Milwaukee, WI 53263-0370
TO FAX: 800-711-9624
Today's Date
(Fax
orders
are credit only.)
ORDER TO:
Atlanta, GA 30390-0370
TO FAX: 800-711-9485
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HOME PHONE NUMBER of the household placing the order. It helps speed up your order.
Please
be
sure
~o~~c~~e.
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ANY CHANGE
in your name.
address or phone number since your last order?
II so, please complete this section.
Name (Use the same name for ALL orders from your Household)
-F-o-rm_e_r_N_a_m_e-(fi-rs-t,-m-i-dd .... l-e-in-it.,..ia"'"1,"'"1a-s ....
t)-------- -----------
(first, middle inrtial, last)
Apt. 1
~----
Former Address
Present Address
City/State
Zip
City/State
Zip
1 1
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"Fo_r_me~r-:-H-:-o-m~e'""P"'h-o~ne'°'N,..u-m-,b~e-r-~-~
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JCPenney CHARGE ACCOUNT NUMBER (if there is one for this household). It helps us process ALTERNATE PHONE NUMBER
(When will you be there?) Time
~~~g~so~d~~s
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D AM
Size
Color, Pattern
How Many
Mono-
Price For
Page
Nameofrtem
Finish, Style, Etc.
Total
No.
(1 or 2 words)
Letter(s)
Catalog Number
Letter(s) (measure
No.or(Pkgs. Ea.
gram
One (Pkg.
Price
to be sure)
Name
etc.)
Initials
Ea.etc)
Code
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CREDIT ORDERS. Please complete credit informa-
• CASH CUSTOMERS. Please pay by check or money order in
lion below. To place a MAJOR PURCHASE
U.S. dollars. Do not send stamps or currency. Include payment for
shipping-and-handling charge. See page 473. Orders containing
CHARGE, your order must total $200 or more.
e
SORRY, WE DO NOT ACCEPT C.O.D. ORDERS.
any Class C must be sent by truck. See page 473.
ENTER
• For additional order blanks - call 1-800-222-6161.
TOTAL
HERE
Complete this section if this is a
Gd#.Jii.1;1,fol
~
0
Would you like to OPEN a
Complete this section if this is a
•1:tt1;;;w:t
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JCPenney Charge Account
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MERCHANDISE TOTAL
$
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Check only ONE box. Enter yourwccount number
for both regular and major
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(Penney's above, other charge cards below) and
purchase ttems? Just check
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the circle, sign below
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sign below.
and see page 478.
AMOUNT FOR DELIVERY
$
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JCPenney Regular Charge
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JCPenney Major Purchase Charge
$
0 Visa
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MasterCard
D
American Express
D
Discover Card
SALES TAXES
(See page 475)
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Charge card number for VISA,
Expiration
Interbank No.
MasterCard, American Express, or Discover Card
Date
(for MasterCard)
if Your owe money on a previous JCPenney
$
Mo. Yr.
CASH order, please enter that amount
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Total of this order plus balance owed
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from a previous JCPenney CASH order
$
Charge this
order.tomy Charge Account as I have indicated,
should be your TOTAL PAYMENT
to be paid according to the current terms of that account.
Authorized
charge card
SIGNATURE ----------------------
To SHIP to ANOTHER PERSON or ADDRESS ...Just tell us who and where
For
JCPenney
CATALOG
Name (first, middle initial, last)
Address
Apt.
City/State
Zip
For orders to Alaska and Hawaii and all U.S. Possessions
and Territories, we will ship via Parcel Post unless you
D
Air Parcel Post
indicate Air Parcel Post here.
For orders within the continental U.S., we will ship via
D
Regular Parcel Post
U.P.S. unless you indicate Regular Parcel Post.
Delivery
We~ts
(for sh
orders only)
TOTAL
WEIGHT
(Add like
dol!ars
and cents)
ENTER
TOTAL
HERE
.._.
•
Enter here
the shipping
charge for
the above
weight. See
page473
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X-96
use