Order Form
Print this form out and mail with check or money order (or Visa/MC information)
Shipping Information
Name
___________________________________________________
Address __________________________________________________
City__________________________ State_________ Zip___________
Phone________________________ Email _______________________
Order Information |
||||||||||||
Qty |
Product |
Design |
Color/Size |
Unit Price |
TOTAL |
|||||||
| Sub total | ||||||||||||
| Shipping & Handling | ||||||||||||
| Sales Tax (WA only: 8.6%) | ||||||||||||
| TOTAL | ||||||||||||
Make check payable to: WildLyfe Images
Visa & MC Orders: |
Card
Type________________________________________________________
CC#_________________________________ Exp. Date __________________
Signature_________________________________________________________