Order FormAncient Egyptian Collection - Helen McCrea -ISIS Collection | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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mail with payment it to: |
Fax: (650) 873-9493 Phone (650) 873-8793 |
| To: Name: ______________________________ Address: _____________________________ Sta te/Zip: ____________________________ Phone No: ___________________________ |
Ship To: _____________________________________ _____________________________________ _____________________________________ _____________________________________ | |||
| Item No. |
Quantity |
Description |
Color |
Size |
Unit Price$ |
Total Price $ |
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| Outside US-exact charge for shipping | Total price of Items | ________ | ||||
| Please pay by credit card | Total Merchandise Add | Shipping Charges | ________ | |||
| Up to $50.00 $7.00 | ||||||
| Up to $100.00 $9.00 | ||||||
| Total | ________ | |||||
| Date:
__________________ Credit Card# _________________________ Expiration Date: ________________ |
Signature:____________________________ | |||