Order Form   

Paper and Clay Studios, LLC

Use this order form to submit your order on-line. Since our secure server is not operational yet DO NOT ENTER YOUR CREDIT CARD NUMBER on-line. We can call you to get your card number when you are ready to place an order. If you prefer to mail or fax your order, you can print out the form and use it to submit the order.    Please note: At this time the order form does not remember information you enter if you leave the page and come back to it later. Please input and submit the order data at one time to avoid aggrevation!! Thanks.

  CLIENT INFORMATION:

FIRST NAME:  LAST NAME: 
ORGANIZATION: 
ADDRESS: 
CITY:   
STATE/PROVINCE:   ZIP/POSTAL CODE: 
COUNTRY: 
PHONE #:   (Must have!)
FAX #: 
E-MAIL:  (Must have!)

  SHIPPING INFORMATION:  (If different than Client Information)

NAME: 
ORGANIZATION: 
ADDRESS: 
CITY:   
STATE/PROVINCE:   ZIP/POSTAL CODE: 
COUNTRY: 
SPECIAL INSTRUCTIONS: 

  PAYMENT METHOD: (All funds payable in U.S. dollars)

CHECK	MONEY ORDER	CREDIT CARD  (PLEASE CALL ME FOR MY CREDIT CARD INFO)
		DO NOT ENTER CREDIT CARD NUMBER ON-LINE!

IF PAYING BY CREDIT CARD AND USING THIS AS A MAIL/FAX-IN FORM:
NAME ON CARD: 
CARD NUMBER:      EXPIRATION DATE: 

SIGNATURE: 

(Required if mailing/faxing in a copy of this order form with credit card order)
  ART PIECES ORDERED:

ART CODE	SHIP WT.	DESCRIPTION	PRICE
		SUBTOTAL:
SHIPPING CHARGES (from chart):
SALES TAX (Maryland residents add 5%):
TOTAL:

    

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