Plastic Hand Shaped Chairs

Order Form

 

 

SOLD TO

Name: 

Address: 

City, State, Zip: 

Phone #: 

E-Mail: 

Please mail payment

and order form to:

Shawn Barbagallo

1004 Westchester Dr

Rockford, IL 61107

                       

Order form can be faxed to: 815-282-3291

Orders can be called in to: 815-988-7747

(9 A.M. – 7 P.M. Central Time)

Orders can be e-mailed to: HandShapedChairs@aol.com

 

We accept Credit Cards (through http://www.paypal.com/, user ID (HandShapedChairs@aol.com), Cashier's Check, Money order or Personal Check.

 

* Personal Checks require 7-10 business day hold to clear

 

ITEM

QUANTITY

UNIT PRICE

TOTAL PRICE

 

 

 

 

 

 

Total

 

Shipping & Handling

 

 

 

 

 

 

 

Grand Total

 

 

 

* Prices and availability are subject to change at any time.

Ó 2001 - 2008  www.HandShapedChairs.com

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