Printable Order Form

Printable Order Form FAX TO: 530-222-0552

THE CRAFT WORks & all costume jewelry MANUAL ORDER FORM

Your Name:_____________________________________________________________________

SHIP TO Address:_______________________________________________________________

____________________________________________________________________________________________

City: _____________________________State: _______________Zip Code:_________________

EMAIL ADDRESS: ____________________________PHONE #:__________________________

Method of Payment:

____Visa ____Mastercard (sorry, we no longer accept American Express or Discover)

Name on Card:__________________________________________________________________

Credit Card #:_______________________________________ Expiration Date:______________

Billing Statement Address:_________________________________________________________

City: _____________________________State: _______________Zip Code:_________________

Item Quantity Price Total

____________________________________________________________________________________________

Sub Total:________________

CALIFORNIA Resident's add 7.25% sales tax to subtotal:________________

(leave blank) WE Calculate Shipping & Insurance Charges:__________________

(leave blank) ORDER TOTAL:__________________

I authorize All Costume Jewelry & The Craft Works to make a charge to my credit card for the above items.

Signature:___________________________________________Date:________________________