PAPA CARD ORDER FORM
ORDERING INSTRUCTIONS
By Mail:
Please mail your order form with payment to:
Papa Card Team Attn: Kelly Mitchell
2002 Papa John's Blvd
Louisville, KY 40299
By Phone:
Call toll-free 1-866-528-4438; please leave a message
By Fax:
Fax your order form to (502) 261-4545
Questions?
Please call us at (502) 261-4546
Visit us online: www.papajohns.com/papacard
Thank you for your order!
PURCHASER INFORMATION (Please Print)
Name:
Order Date:
Company:
Address:
City:
State:
Phone:
Email:
zip
Note: We cannot ship to a PO Box.
SHIPPING INFORMATION (if different from above)
Name:
Company:
Address:
City:
State:
Phone:
Fax:
ORDER INFORMATION
Quantity
Amount
Zip:
Email:
Subtotal
PAYMENT INFORMATION
Company Check - Payable to Papa Card Inc. (Address above)
Credit Card
VISA
MasterCard
Discover
American Express
Card number
CID# (3-4 digits)
Expiration Date
Cardholder Name
Billing Address Same
Please check:
Cardholder Signature
Gift Card Subtotal
Carrier
Digital
Discount
Your signature indicates agreement to pay total amount noted above pursuant
to card issuer agreement.
Shipping
ORDER TOTAL
Shipping & Handling Fees
# Cards
1-50
Next Day
Air
$13.50
3-Day Air
$9.00
5-Day
Ground
$7.00
51-199
200-500
>500
$18.00
$13.00
$9.00
$25.00
$16.00
$10.75
Call for shipping & handling fee
FOR OFFICE
USE ONLY
Order #
Date Order entered
- Minimum amount loaded per card: $5.00/Maximum amount loaded per
card: $1,000.00
- Orders placed before 1 p.m. EST, M-F will be shipped within 1 business
days.
- Credit card will be charged the day the order is shipped.
Papa Card Inc. Is not responsible for any lost or stolen cards.
# Cards Issued
Date Order shipped
CONFIDENTIAL
rev. 4/13/2016