Cigs By Mail Order Form

Should you have any questions, or prefer to order by phone, please give us a call, we’ll be happy to help! 1-800-819-1718 Monday – Friday 8 to 7 Saturdays 10 to 3

Product Selection: #1

# of Cartons

Choose a Brand

Type

Length

King -Regular Size

100s - long

120s

Box or Soft Pack

Box

Soft Pack

Product Selection: #2 Optional

# of Cartons

Choose a Brand

Type

Length

King -Regular Size

100s - long

120s

Box or Soft Pack

Box

Soft Pack

Product Selection: #3 Optional

# of Cartons

Choose a Brand

Type

Length

King -Regular Size

100s - long

120s

Box or Soft Pack

Box

Soft Pack

Product Selection: # 4 Optional

# of Cartons

Choose a Brand

Type

Length

King -Regular Size

100s - long

120s

Box or Soft Pack

Box

Soft Pack

Product Selection: # 5 Optional

# of Cartons

Choose a Brand

Type

Length

King -Regular Size

100s - long

120s

Box or Soft Pack

Box

Soft Pack

Please Add Shipping

Order 5 or more cartons and receive free shipping, pay only a flat $5.00 processing charge.

1-4 Cartons - Shipping 7.95

5 + Cartons - 5.00

AK & HI 1-6 Cartons 9.95

AK & HI 7-10 Cartons 12.95

AK & HI over 10 cartons 12.95 + .50/carton

Repeat Customers

If all checking and shipping information is the same, just fill out this section along with your order information above.

First Name

Last Name

Phone

Email

My Checking information is on file
Please use the following check number for this order

New Customers please complete the form below.

Note: We only ship to the address listed on the account

First Name

Last Name

Address 1

Address 2

City

State

Zip

Phone

Email

Your Date of Birth

Month

Day

Year

Discount code if any?

Note: The discount will not show on this order form, however, it will be applied when we process your order.

Check Information

Name or Name(s) on check

Name of Bank

Bank City and State

Your Check # - remember to void your check & record it

(3) Sets of numbers across the bottom of your check. Note: They may look different from the sample check below.

1st Set "D" below

2nd set "F" below

3rd set "G" below

Sample Check

To Complete Your Order:
- Click the continue button below
- Scroll to the bottom of the next page
- Review your order and click on the “Submit Button"

Thank You!

Note: Any Discounts will be applied when we process your order.