Art Effects Northwest Order Form

ORDER FORM

Customer Information			Ship To Address If Different
Name			Name
Address			Address
City	State	Zip	City	State	Zip
Phone			Phone
Fax			Fax

Today's Date

Purchase Order #

Ship Attention To

Qty.	Shape Code	Color Code	Item Code or Description	$ Price Ea.	$ Extended Price

Method of Payment

Check or Money Order (must be processed before shipment)
Credit Card through PayPal

Credit Card Orders:You may FAX this order form to (541) 767-9190. After confirming your order with us, please process your payments to sales@arteffectsnw through PayPal.com

Subtotal of page 1	$
Subtotal of page 2	$
Total Merchandise	$
Shipping (see page 2)	$
Total Amount Due	$

Qty.	Shape Code	Color Code	Item Code or Description	$ Price Ea.	$ Extended Price
















Subtotal					$

Shipping Charges		Ordering Information
Based on weight & current US Priority Mail Rates or UPS Domestic and International Rates. Please call for merchandise delivery times and shipping charges.	Minimum Order: $10 Order by Phone: Phone/FAX: (541) 767-9190 Mail: Check or Money Orders accepted by mail.
Note: Damaged Shipments must be reported within 2 days of receipt of merchandise. Returns accepted within 14 days of receipt of merchandise. All returns must be undamaged, freight pre-paid, and may be subject to a 20% restocking fee.	Remit To: Art Effects Northwest P.O. Box 1361 Cottage Grove, OR 97424

Shipping Charges

Ordering Information

Based on weight & current US Priority Mail Rates or UPS Domestic and International Rates.

Please call for merchandise delivery times and shipping charges.

Minimum Order: $10

Order by Phone: Phone/FAX: (541) 767-9190

Mail: Check or Money Orders accepted by mail.

Note: Damaged Shipments must be reported within 2 days of receipt of merchandise.

Returns accepted within 14 days of receipt of merchandise. All returns must be undamaged, freight pre-paid, and may be subject to a 20% restocking fee.

Remit To:

Art Effects Northwest
P.O. Box 1361
Cottage Grove, OR 97424