If you would like to order by fax, please fill in the following form, and fax to 845-626-7622
To Download This Form Please Click Here Purchaser Name: _________________________________________ Credit Card or Charge a/c Number: ________________________________________ Exp Date: _________
3 Digit Verification from Back of Card: _____ Please Circle One: Master Card Visa Amex Shipping Address: (or check here for pick-up at 147 Cooper St. Accord, NY. We will call you to arrange pick-up date and time) ___________________________________________________ ___________________________________________________ Cardholder Address (check here if same as shipping) ________ ___________________________________________________ ___________________________________________________ Product Info: Category ________________________________ Product Name: _______________________________________ Color/Size (if applicable): __________________________________________ Contact Phone Number incl area code (___) ____ - _____ For Customer Service, please contact The Esopus Collection :
Phone: 845-626-5741 ext. 2
Monday - Saturday
8 a.m. - 6 p.m.
Fax: 845-626-7622
Email: customerservice@theesopuscollection.com
Responses to phone calls, faxes and emails received after 6 p.m. will be made the next business day.
Thank you for shopping with................ | 
