HANDCRAFTED "G" STRUCTURES

QTY	ITEM	PRICE	TOTAL
____	_____________________________________	________________	______
____	_____________________________________	________________	______
____	_____________________________________	________________	______
____	_____________________________________	________________	______
____	_____________________________________	________________	______
____	_____________________________________	________________	______
____	_____________________________________	________________	______
		Sub Total $	______
		6.5% Tax (AZ residents only)	______
		*S/H ($11.00 per Std Bldg)	______
		TOTAL	______

*Shipping via FedEx Ground/Continental U.S. only

(Please attach check or provide charge card information below)

REMARKS: _________________________________________________________________

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Customer Information:

Name:__________________________

Address:__________________________

Phone #:__________________________

E-Mail:__________________________

Visa/MC #:__________________________

Signature:__________________________

Exp. Date:__________________________

Date:__________________________

You may print and mail a copy of this order form