|
Print out, then fill in this form. Please write clearly.
Order Form
Name |
|
Credit Card Number |
|
Exp. Date |
|
Billing
Address |
|
|
|
Shipping
Address
(if different) |
|
|
|
Telephone |
|
E-mail |
|
Image Name |
Image Number |
Size
(or card) |
Unit
Price |
Quantity |
Total
Price |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Subtotal |
|
Sales tax 5% (Maine residents only) |
|
Shipping (for multiple items, shipping of largest item only) |
|
GRAND TOTAL |
|
|
|
|