Order
Total: ___________________________________________________
Packing/Shipping:
______________________________________________
(Please note: The
shipping price listed next to each item is for 1 item
anywhere in the continental US. Combined item shipping is
available. If you are ordering more than one item, please
call for a quote on combined shipping.)
Deposit
Total: __________________________________________________
(min. 50% deposit required)
Circle One: Visa
Mastercard American Express
Discover
Credit Card No:
________________________________________________
Exp. Date:
_____________________________________________________
Security Code:
_________________________________________________
Signature:
_____________________________________________________
We will contact you when
we receive your fax to confirm all the details and let you
know the expected completion date. Thank you for your order:)