CUSTOMER INFORMATION:
| Date: ________ ___---- Crafter's Name you are ordering from:______________________________ |
| First & Last Name: |
| Street Address: |
| City/State/Providence: |
| Country: Postal Code / Zip: |
| Your Phone #: ________ ___---- __________________________ |
| Email Address (If applicable): _______________________________ |
| PAYMENT
INFORMATION: Check with
Crafter as to what type of Payments they accept. Some do not
accept credit cards. _____Check (allow time for clearance) _____ Money Order _____ Credit Card (if applicable) |
| Type of Credit Card (Visa, MasterCard, DIS, Other): |
| Cardholder's Name: |
| Card # _________________________________________________Cards Expiration Date: _________________ |
| Card Holders Signature: |
| Amount to be Charged to Credit Card:-- $ |
Qty ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ |
Item # ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ |
Product Name/Description ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ |
Color ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ |
Size _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ |
Price ________ ________ ________ ________ ________ ________ ________ ________ ________ ________ Sub Total Sales Tax Shipping TOTAL |
Total Price __________ __________ __________ __________ __________ __________ __________ __________ __________ __________ $_________ $_________ $_________ $_________ |
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