ORDER FORM

Please provide the following ordering information:

TODAY'S DATE:      example: 02/21/2007

FIRST NAME: 

LAST NAME: 

EMAIL: 

PHONE:   

ORDER:

Quantity Order Number Price each $   Price Total $

Quantity          Order Number                 Price each $      Price Total $

 African Hides                 Price  $      Description

African Hides                 Price  $      Description

African Hides                 Price  $      Description

TOTAL ................................................................................................................................... $
 Plus shipping, if shipping is  not indicated on FOR SALE page it will be calculated and added when shipped.     

BILLING
Credit Card
Cardholder Name  
Card Number    -    -   -   Example: 1234-5566-7891-4321
Expiration Date    MM / YY Example: 05/09
Card  Security Number       3 digit number on back of card
   

SHIPPING INFORMATION
This information for Security purposes needs to be the same as the address your credit card bill goes to. If you want these items sent to another address please include it in the Comments section below. "Please Mail To :"
Name  
Street Address  
Address (cont.)
City  
State/Province  
Zip/Postal Code  
Country
         If you need to add some comments please do it here or a shipping address other than where your credit card bill goes to.
COMMENTS:         

          


Copyright © 2000 [Wildlife Artistry Taxidermy]. All rights reserved.
Revised: January 02, 2008