Simply print this form and fill in the information to order by fax or phone. If you have any questions please contact us via email. Thank you!
Temple of Thai

Fax Order Form and Phone Order Planner

Fax (877) 811-8773  
Phone or Voice Message:
Toll Free (877) 811-8773  
Your Information:  
Your email address:  
Please include your phone number to assist UPS shipping only:  
Home phone:
Alternate phone:  
Bill to:  
Name (First,last,middle):  
Address (Street,Apt.):  
Ship to (if different): Must be a physical address, no P.O. Box, APO, etc.
Phone of recipient:  
Your order:      
Item name Quantity Price for one Total price
*use more pages if needed      
*Please note there is a $20 minimum BEFORE shipping.      
For Credit Order Enter your account number for one of the cards listed and sign below. Money Orders or Western Union are accepted for international orders only please contact us.  
Discover Merchandise total amount $
Visa *Amount for shipping and handling $
Mastercard Total for the order $
American Express
Expiration date __/__ We do not accept COD orders. Do not send currency. Include payment for shipping and handling.  
Charge this order to my Credit Account as I have indicated, to be paid according to the current terms of that account. *Important: To determine the shipping cost before ordering email us at  Email or to determine shipping charges yourself please see our site
Authorized credit card signature

Your special instructions to Temple of Thai: For Temple of Thai Use only please:

Thank you very much!