Order Form
Item Description
Qty.
Price Ea.
Extended
Total
(We will e-mail your exact shipping costs.)
Please Note: If you require more than 10 entries, simply submit an additional order form
and we will process both forms as a single order. Thank you.
First Name
Last Name
Address
City
State
Postal Code
E-mail
Daytime Phone
Evening Phone
Shipping Address
(Leave blank if same as above.)
First Name
Last Name
Ship-to Address
City
State
Postal Code
Payment Options
Paypal (send payment to hookit@ctcweb.net)
Credit Card (Master Card, Visa, or American Express)
If using credit card outside of Paypal, call 888-259-3319 or fax to 208-628-4278
Where did you hear about us?
Visited our booth at an art show
Internet Search
Saw product in art gallery
Friend
Other
Notes/Special Instructions:
