Print this form and fill out legibly.
Shipping Address: Comments:
______________________________ ________________________________________
______________________________ ________________________________________
______________________________ ________________________________________
______________________________ ________________________________________
E-mail Address: ________________________________________
______________________________ ________________________________________
Phone Number: ________________________________________
______________________________ ________________________________________
| Item # and Description | Quantity | Price per Item | Total Price of Item(s) |
Subtotal $________________
Residents of the State of Michigan add 6% tax ________________
Shipping and Insurance Charges (Please see Shipping Page) ________________
Total (Subtotal + Tax + S/I) ________________
Send this form with your US Bank Check, money order,
certified or cashier's check, or international money order to:
Arts Variety
P. O. Box 528
Caledonia, MI 49316