PAT
NO 4642257
| Retail
Screen Art Order Form |
PRINT
FORM
FILL OUT AND FAX TO
978 667-1883
OR
MAIL to ADDRESS BELOW
|
1.
HEART ($1.95)__________________________________________________
2.
SEAGULLS ($2.95)_________________________________________________
3.
BIRD/GENERIC ($2.95)_____________________________________________
4.
BIRD/HUMMING ($2.95)____________________________________________
5.
BUTTERFLY ($2.95)________________________________________________
6.
CAT ($2.95)______________________________________________________
7.
DOLPHIN/SMALL ($2.95)____________________________________________
8.
FISH/SMALL ANGEL ($2.95)_________________________________________
9.
FLOWER ($2.95)___________________________________________________
10.
LEAF ($2.95)_____________________________________________________
11.
PALM TREE/SMALL ($2.95)__________________________________________
11A
SAILBOAT SMALL ($2.95)___________________________________________
12.
DOLPHIN/LARGE ($4.95)____________________________________________
13.
DOVE ($4.95)_____________________________________________________
14.
FISH/LARGE ANGEL ($4.95)__________________________________________
15.
PELICAN ($4.95)___________________________________________________
16.
GOLFER/LADY ($5.95)_______________________________________________
17.
GOLFER/MAN ($5.95)_______________________________________________
18.
PALM TREE/LARGE ($5.95)___________________________________________
19.
LIGHTHOUSE WITH 1 SEAGULL ($5.95)_________________________________
19A
SAILBOAT/LARGE W/1 SEAGULL ($5.95)_______________________________
6A
LARGE CAT ($4.95)_________________________________________________
. 9A LARGE FLOWER ($4.95)______________________________________________
. 4A LARGE HUMMING BIRD ($4.95)_________________________________________
. 18A EXTRA LARGE PALM ($8.95)__________________________________________
Screen
Art magnets come packaged with descriptive product information
header card.
No
minimum order
Fill
out & print order form below.
Add
$3.95 shipping & handling charge.
Visa
and Mastercard customers put
your card number & expiration date for
credit card processing.
Checks
or money orders accepted.
Caspers Faux
Etched Glass, Etc.
4 Rio Vista St.
N. Billerica, MA 01862
Phone/Fax: (978) 667-1883
E-mail: caspers@fauxetchedglass.com |
Date:___________________
Name:____________________________________________________________________
Address:__________________________________________________________________
City:____________________________State:________________Zip:__________________
Phone/Fax:_________________________email address:____________________________
Visa/MC#:___________________________________Expiration
Date:_________________
|
Casper's
Faux Etched Glass, Etc.
4 Rio Vista St.
N.Billerica, MA. 01862
Ph: 978.667.1883
|
|
