| QTY | ITEM # and NAME |
PRICE | TOTALS |
|---|
| | | $ | $ |
| | | $ | $ |
| | | $ | $ |
| | | $ | $ |
| | | $ | $ |
| | | $ | $ |
| | | $ | $ |
| | | $ | $ |
| | | $ | $ |
| Calif. Residents add 8.75% tax - |
Shipping and Handling :
Continental USA Shipping Charges ONLY:
* Retail pattern orders - $1.00 for 1st pattern / .50 per
additional pattern |
*
NO
INTERNATIONAL ORDERS - NO ORDERS SHIPPED OUTSIDE US |
SHIPPING &
HANDLING | |
| TOTAL ORDER |
|
| Credit Card Payment Info*
Circle One: VISA
MC DISCOVER |
|
Name on Card:
|
|
Card Number: ___ ___ ___ ___ - ___ ___ ___
___ -
___ ___ ___ ___ - ___ ___ ___ ___
|
|
Exp. Date: ___ / ___ Security Code-Last
3 #s from back of card: ___ ___ ___
(REQUIRED) |
|
Signature: |
|
*Credit Card Statement will show
The Old Drawin' Board as merchant. |
CUSTOMER INFORMATION: If
paying by cc, address shown below must match address on cc statment.
(if you would like order shipped someplace other than your billing address
please make note of that below) |
|
Customer Name
|
|
Address
|
|
City State Zip Code
|
|
Home Phone # Email Address
|
|