PRINT THIS PAGE AND SEND IN WITH YOUR ID

PRINT THIS PAGE AND SEND IN WITH YOUR I.D. AND PAYMENT

CheapSmokesbyMail
PO Box 0028, Salamanca, NY 14779
Phone: 1-888-391-1199 Fax: 1-716-945-5175
Please type or print!	Date:		Phone:			am pm
Credit Card Billing Address			We ONLY send to the same address as the credit card billing address.			ck#
Billing Name:			Place copy of I.D. Here if Paying with M.O. or Check (First time ordering only) If no I.D. is enclosed, order will not be not processed
Address:

City:
State:		Zip:
Money order or Check#
Money orders and checks may be mailed to the address above. Check clearing is 5-7 days.
Minimum order 2 cartons. Under 2 cartons will not be processed!
Order Info
Description			Price per Carton	Quantity	Shipping	Total





			Total Amount of Order
I CERTIFY THAT I AM AT LEAST 18 YEARS OF AGE:
sign here X_________________________
Signature Required for processing
GOODS DESCRIBED ARE TO BE TRANSPORTED TO THE ABOVE ADDRESS FOR CONSUMPTION THERE. THEY ARE SOLD TO YOU BY THE CHEAPSMOKESBYMAIL COMPANY, WHICH IS AN AUTHORIZED AND EMPOWERED SOVEREIGN ENTITY OF THE SOVEREIGNTY KNOWN AS THE SENECA NATION OF INDIANS. THE SAID GOODS ARE NOT SUBJECT TO INSPECTION, TAXATION, OR SEARCH OR SEIZURE AND ALL RECORDS ARE THE PROPERTY OF THE SAID SOVEREIGNTY AND ARE TO BE KEPT AT THE SAID SOVEREIGNTY'S TERRITORY AND ARE NOT SUBJECT TO INSPECTION, SEARCH , SEIZURE, OR SUBMITTAL TO, FOR OR BY ANY AGENCY, STATE, NATION, OR COUNTRY WITHOUT THE WRITTEN CONSENT OF THE SENECA NATION OF INDIANS.

Print this page, tape a copy of your I.D. to the spot indicated, copy it ,sign it and Fax or send it in.