Customer Name
________________________________________________________
Address_______________________________________________________________
City_________________________________State_____________Zip______________
Phone______________________________Cell
Phone__________________________
Style
_________________________Description________________________Price_________
Options
1.____________________________________________________________Price________
2. ___________________________________________________________
Price_________
3.
____________________________________________________________Price_________
4.
____________________________________________________________Price_________
Sub-Total_________
Comments:___________________________________________________
Tax _________
____________________________________________________________Shipping_________
_____________________________________________________________Total
_________
We do take MasterCard / Visa / Discover Card For security reason
we perfer to do credit card transactions over the phone, for your
safety!