Fax Order Form
Order #

by: Joanna's Gift Shop

Fax to: 626-799-9997

22 Characters Max - top line:

_{_______________________________}

27 Characters Max - bottom line:

_{_______________________________}

_{See this page for choice listings.}

_{(X)    For:  Car: ___    or  Motorcycle: ___}

_{(X)    Black: ____ or Chrome Frame: _____}

_{Type Style: ___________________}

_{Color Code#: _________________}

_{Ordered by:   and ship to:*}

_{___________________________________}

_{___________________________________}

_{___________________________________}

_{Phone #____________________________}

_{Charge my Credit Card:  Visa ___   MasterCard____ Discover_____}

_{Credit Card #__________________________________________}

_{Exp. Date:______ Signature:______________________________}

_{Amount:$____________  *Shipping address must match billing address.}

_{Frame $15.95 each, CA Res. add 8% Sales Tax,
Total Order Shipping Cost Only:  $3.25 for Priority Mail for up to 2 frames.
Credit Card Billing will appear: as Joanna's Gift Shop}

http://www.southstampadena.com/fax_order_form.html