Printable Order Form
Your Name: __________________________________________________
Street, POB, Apt.: _____________________________________________
City/Town: __________________________________________________
State/Provence: _______________________________________________
Country: ______________________________ zip code _______________
E-mail: ______________________________________________
Telephone: ___(______)_________________________________
(see description of these terms below)
Quantity. Item...... Description....................... Unit Price... Total
...................................................................
Sub Total:
Shipping: ______________
Grand Total:
Send this form with your check, money order, or photocopy of your visa/master card to:
Ray Bliss Rich, artisan
Meditations on Paper
P.O. Box 1167
Hillsboro, NH 03244Note: If you choose to pay via credit card I need the address at which you receive your credit card bill. If that address is different from your shipping address I need an explanation for that.
I also need the complete credit card number, expiration date, and verification number.
Order Form Terms Defined:
Quantity = how many of the item you want.
Item = type of item (painting, print, book).
Description = image desired / title (rabbit, seated cat, blue iris / gyotaku primer).
Unit Price = cost of one item.
Total = cost of one item times the quantity desired.
Sub Total = add up the total column.
Shipping = $10. total for matted paintings/prints; $20. total for framed paintings/prints; $5. total for one or more books...
Note: shipping charge is per address being shipped to. So it would be a total of $10. for three matted prints if all are being shipped together to one address.
Grand Total = the amount you are enclosing as payment for your order.
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