order form

SAFRA CERAMIC ART ORDER FORM
all items unpainted
VISA MC DISCOVER CARD
DISCOUNT
10% ON ORDERS OVER $100, 15% ON ORDERS $200 TO $300 , OVER $300 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 .076% tax_________

shipping:____________

Account #:_______________________________ Ex Date:______ 3 digit #_______

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 .076% tax_________
		shipping:____________
Account #:_______________________________		Ex Date:______	3 digit #_______
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