We accept
Mastercard, Visa, American Express, Discover, personal checks, and money
orders. Please make checks and money orders out to Moonbrook Arts.
Credit Card No. _____________________
Expiration Date _________________
Catalog Qty
Check if wanted w/ Welcome
Number
________ ___ ___
________ ___ ___
________ ___ ___
________ ___ ___
________ ___ ___
________ ___ ___
________ ___ ___
________ ___ ___
________ ___ ___
________ ___ ___
|
| |
|
 |
|
|
Date
Ordered ________ Phone ___________ Fax ___________
Name and Shipping Address
_________________________
_________________________
_________________________
_________________________
Attention __________________________________
Number of
slates X $30.00 = ______
7% Sales Tax (NY Res. only) =_____
****************Total Due = ___________
Moonbrook Arts
PO Box 3212
Jamestown, New York
14702 |
| |
|
