Cigar Web Order Form

Cigar Order Form

Choose your Cigars

Box of 12 Cigars

Cellophane wrapped

12 Personalised Cigars (Glass Tubes):

Glass Tubes

Box 25  Cigars

Cellophane wrapped

25 Cigars (Glass Tubes)

Glass Tubes

Need a Cigar Cutter ?

Cigar cutters (Each)

A Cigar Cutter is used to nip the end off the cigar prior to smoking.

Water Pillow Humidifier

Water Pillow

A Water Pillow will keep your cigars perfectly fresh for up to 90 days

Cigar Lighter ?

Dual Function Cigar Lighter with Cigar Punch

Lighters are sent empty of gas due to postal regulations

Sub-Total :

Postage & Handling:*

Grand Total :

Special Instructions

Special Instructions*

Billing Information

First Name:*

Same name as on your card

Last Name:*

Address Line 1:*

Address Line 2:

City:*

State:*

Postcode:*

International enter 0000

Phone:*

Email Address:*

Shipping Information

Same As Billing Info

First Name:

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Post Code:

International enter 0000

Other Notes / Delivery Instructions:

Credit/Debit Card Information (Please note this page is 100% Verisign Secured)

Card Number:

No dashes or spaces please

Expiration Month:

From your card

Expiration Year:

From your card

Card Brand:

CVV2:

3 digits on card back

I am over 18 years of age*

* We DO NOT market or sell products to persons under 18 years of age.
* We reserves the right to void any sale which we believe may enable minors to          acquire tobacco products.

I have read and agree to the Terms & Conditions of Sale*

Order Number:

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