PRESS ROOM
HOME
|
91 Church Street/PO Box 1088, Sutter Creek, Ca 95685 Phone: 209-267-9134 Please fax completed orders to us: Fax: 209-267-5984 |
ORDER FORM
PRESS ROOM
HOME
NAME: ____________________________________ COMPANY:_________________________________
DATE: ________________ PHONE #: _____________________ FAX#:__________________________
ADDRESS: _______________________________________ E-MAIL: _____________________________
CITY: ______________________________________ STATE: _______ ZIP: ________________________
| QUANTITY | ITEM / UNIT DESCRIPTION | PRICE |
SUBTOTAL |
||
SALES TAX |
||
Shipping and handling will be added to all orders ............... TOTAL DUE |
Minimum Order: $75.00 PAYMENT METHOD: COD ( )+ $8.00 Credit Card ( )
VISA/MASTER
CARD Circle
the type of card you are using.
Credit Card # _____________________________Exp Date:________ 3-Digit Code _________Billing Zip_______
Full Name Listed on Card: ___________________________________________________________
Authorized Signature: ______________________________________________________________