| JENNY PACE PHOTOGRAPHY | ||||||||||
| ORDER FORM | ||||||||||
| BUYER: | Date: | |||||||||
| Phone: | ||||||||||
| Email: | ||||||||||
| Fax to: | 831-336-5308 | |||||||||
| Qty. | Name / Description | Price | Amount | |||||||
| 1 | Anemone 01- Card SAMPLE LINE | 3.00 | 3.00 | |||||||
| Shipping Charges: | Sub-Total | |||||||||
| $0.01 - $15.99 | $2.95 | Tax - 9% | ||||||||
| $16.00 - $44.99 | $4.95 | 0.09 | Shipping | |||||||
| $45.00 - $79.99 | $11.95 | Total | ||||||||
| $80.00 - $124.99 | $24.95 | |||||||||
| $125.00 - and up | $29.95 | |||||||||
| Credit Card Number: | Exp Date: | 3-Digit Code: | ||||||||
| Address (as it appears on your credit card) | ||||||||||
| City: | State: | ZIP: | ||||||||
| Signature: | ||||||||||