Order Form - Classical Greek Statuary, Classical Roman Sculpture Statue

Order

Form

Amfora Co. 7145 Watt Ave Ste 5
North Highlands CA 95660
Toll free 1 800 515 1977 Tel 916 505 2722 Fax 916- 515 1639
Email sales@italartworld.com

Order Information Item name	Art#	Quantity	Price	Total
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_______________________________________	_________	_________	__________	__________
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Subtotal (CA residents add sales tax)				__________
Freight				__________
			Total	__________

Billing Information Please list your billing address. This is also the address to which products will be shipped unless otherwise specified below.
Name _______________________________________ Phone (______)_______-________
Address ___________________________________________________________________
City ____________________________ State _____________ Zip _________________
Email _____________________________________________________________________
Credit Card (Circle one): Visa / MasterCard / American Express
	Card# _________ _________ _________ _________ Expiration MM/YY) ___/___
	Signature _______________________________ Date Signed _____/_____/_____

Shipping Information
Only complete this area if you would like the products shipped to an address other than the one listed above (i.e. a gift).

Name ______________________________________ Phone (______)_______-_________

Address ___________________________________________________________________

City _____________________________ State _____________ Zip ________________

Special Instructions
Note any special instructions below:

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