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Order Form  

Please print and complete this form. Mail it with check or credit card payment. (Fax accepted for credit card.)
Allow 2-3 weeks for delivery.

 Customer   (please print legibly)   Billing Information
       
Name: 
 ___________________________
Card type (circle): 
   Visa  |  Mastercard  |  AmEx
       
Address: 
 ___________________________
Card number: 
 ___________________________
       
City, State Zip: 
 ___________________________
Exp. date: 
 ___________________________
       
Email: 
 ___________________________
Name on card: 
 ___________________________
       
Phone: 
 ___________________________
  Make check payable to: 
   Art in Green, Too
Order Details
Qty
Unit Description
Price
Total
Mirrors    
  box Round mirrors, 1-1/2", packed four sets of two to a box.
$12.00
                    
  box Round mirrors, 2", packed four sets of two to a box.
$12.00
  
box Oval mirrors, 1-1/2", packed four sets of two to a box.
$12.00
  
  box Diamond mirrors, 2", packed four sets of two to a box.
$12.00
  
    Shipping (mirrors– $4.95 per 12 boxes – $4.95 for 1-12, $9.90 for 13-24, etc.):  
   
Total (pay this amount):
  
 

Mail order to:
Art in Green, Too
93 Herring Brook Lane
Brewster, MA 02631

 Fax order to:
508-896-4828

Questions?
Phone: 508-896-4484
Fax: 508-896-4828
Email: info@artingreen.com