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general order form
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This is not a web form – you won’t be able to fill it out online, you must print it first and then mail or fax it
to me.
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John Marshall
works in fabric
Post Office Box 115, Covelo, California 95428 USA
John@JohnMarshall.to www.JohnMarshall.to
emails are the best way to reach me, however my telephone and fax number is
707-983-6636
if you leave a message, be sure to leave your email address as well!
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Please mail or fax the following information to me.
Name_____________________________________
Address___________________________________
City___________________ State/Province_______
Country___________ Postal (zip) code__________
Phone number__________ fax number__________
e-mail address______________________________
Method of payment: credit card ______check _____
Credit card #_______________________________
Expiration date :________Mastercard___ Visa____
For PayPal, send payment to my account at
katazome@johnmarshall.to
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Just write in what you’d like, please be as clear as possible. Feel free to include additional sheets
if there isn
’t enough room below.
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
______________________________________________
Total number of items ordered: _______________
Total ($$) for items ordered: _________________
8.25% tax for CA residents: _________________
Shipping and Handling: _____________________
(add 20% of total, over payments will be refunded)
Total:________________
signature:________________________date: __________
delivery preference? UPS______ Post Office____
Any additional comments or suggestions? Please feel free to add extra sheets!
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