Secure Order form for
Eli Townsend & Son, Inc.

 

  Your Name: (please include Mr. Ms. Miss, Dr. etc.)
                         
AddressLine1:
AddressLine2:
     City:             
State/Prov.:     
Zip or Postal Code:

  Shipping address if different from above:

AddressLine1:
AddressLine2:
            City:      
State/Prov.:      
Zip or Postal Code

     We accept both Visa, Master Card, Discover and American Express.

Should you need to contact us you may do so at (860) 526-3896
any day of the week between 8:30 AM to 8:30 PM EST .

Visa, Master Card, Discover or American Express? American ExpressVisaMasterCardDiscover

Type-in the credit card number using the xxxx-xxxx-xxxx-xxxx format please:


What is the expiration date of the card? (Please enter as xx/xx)

Security Code (cvv2 or cv2 number):
(the 3 or 4 digit number printed on your card) 

What is the name printed on this card?

What is the address and zip code(postal code) for the
billing address for this card (if not already noted above)?
This information is particulary helpful if you are outside of the US.
We have found many foreign banks unwilling to authorize credit card transactions
unless we can give them a billing address.

The Carriage Shed	Double Duty
The Salt Shaker	Home Office

Plans you wish to order from Eli Townsend & Son:

How did you find us?
An ad in Down East MagazineAn ad in Home MagazineFrom another Internet LinkSurfing the InternetA link from GoogleAn Internet Search EngineReferral from a friendOne of our mailersOther

So that we can send you a note to confirm your order please provide us with your E-Mail Address:
(Please double check it.)

Phone number so that we can contact you if there is any problem with this card:

Any comments on our web site or our plans that you want to send us?