|
Order Form |
1215 Frankford Avenue |
|
Order Form |
1215 Frankford Avenue |
__________________________________________ |
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| To order by check or money order, please complete this form and mail with your payment to the address below. To order by credit card you may print and mail or fax completed form or phone in your order. | ||||
Please use our special ordering number when ordering by phone. 215-203-0068 |
| Name______________________________________________________________________ |
| Address____________________________________________________________________ |
| City_____________________________________State________Zip___________________ |
| Phone______________________________Email___________________________________ |
| Payment Method ________Check _________Visa _________Mastercard |
| Credit Card#________ ________ _________ _________ Expiration date_______/_______ |
| V-code (last 3 digits on the back of the credit card)_____________ |
| Signature___________________________________________________________________ |
Item |
Quantity |
Price |
Total |
| Decorative Furniture Finishes w/Vinegar Paint (CD) |
____________ |
$24.99 |
_________ |
Merchandise Total |
_________ | ||
SHIPPING & HANDLING |
Shipping |
_________ | |
1-3 items, add $5.00 per item |
PA residents add 7% tax |
_________ | |
4+ items, add $3.00 per item |
Total |
_________ | |
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