order form

SAFRA CERAMIC ART ORDER FORM
all items unpainted
VISA MC AMERICAN EXPRESS DISCOVER CARD
DISCOUNT
10% ON ORDERS OVER $125, 15% ON ORDERS $251 TO $400 , OVER $400 THERE IS A 20% DISCOUNT
CLICK HERE FOR SHIPPING RATES
Item Description Cost Each Quantity Total Cost

Sub Total:

% Discount:

Total after Discount:

AZ RESIDENCE .066% tax

shipping:

Account #:_______________________________ Ex Date:

Please sign here____________________________ GRAND TOTAL:

E-Mail Adress:

Phone Number:

SHIPPING IS BEFORE DISCOUNT
MAIL CHECK OR MONEY ORDER TO :
SAFRA CERAMIC ART
64255 E. Golden Spur Court
TUCSON AZ. 85739

SHIPPING LABEL: PLEASE PRINT
Name:

Address:

City:

State:
Zip Code:

Item	Description	Cost Each	Quantity	Total Cost







Sub Total:
% Discount:
Total after Discount:
AZ RESIDENCE .066% tax
		shipping:
Account #:_______________________________		Ex Date:
Please sign here____________________________		GRAND TOTAL:
E-Mail Adress:
Phone Number:

MAIL CHECK OR MONEY ORDER TO : SAFRA CERAMIC ART 64255 E. Golden Spur Court TUCSON AZ. 85739

MAIL CHECK OR MONEY ORDER TO :
SAFRA CERAMIC ART
64255 E. Golden Spur Court
TUCSON AZ. 85739