Print-able Order form

PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO: Hindmarsh Studio's 2414 Heutte Drive Norfolk, VA USA 23518 Phone #: 757-588-3227 Fax #: Same/Call first Email: cbhindmarsh@cox.net
Circle Payment Method: Check Money Order VISA MasterCard
Print Name:
Address:	Email:
City:	Credit Card Number:
State & Zip:	Expires:
Telephone:	Signature:_____________________

Item Name and Description	Quantity	Price














Subtotal:
Shipping and Handling:
VA residents must add 5% sales tax-
MAKE CHECKS PAYABLE TO: Hindmarsh Studio's	Total :

Thank you for shopping at Hindmarsh Studio's.