Cape Cod Cybergallery Order Form

Cape Cod Picture Framing

Fax or Mail Order Form

This form may be printed out to be filled in and mailed or faxed to:
Cape Cod Picture Framing 780 Main St. Dennis, MA 02638 USA
Phone (508)385-5482 Fax (508)385-6508

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|Qty_|_Item#_|__Product_Name___________|_Framed__|_Unframed_|_Total__|


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|____|_______|_________________________|_________|_________|_________|


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__________________________________________________Sub-Total|_________|


_________________________________  5% MA Tax(if applicable)|_________|


_______________________________Shipping Each Framed @35.00 |_________|


_____________________________________Each Unframed @10.00  |_________|


_______________________________________________COD ($10.00)|_________|


_______________________________________________Grand Total |_________|


Name:__________________________________________
                     

Company:________________________________________________________________


Street:___________________________________________________________________


________________________________________________________________________


City:____________________________ State:______ Zip:__________ Country:__________




Daytime Phone:_______________________________ Fax:___________________________


  

    [ ]My check or Money Order (U.S. Funds Only) made out to Cape Cod Picture Framing




    [ ]Purchase Order attached




    [ ]Please charge my     [ ]MasterCard  [ ]Visa  [ ] American Express




    Account #:________________________________________________Exp. Date:__________


  

    Signature:____________________________________________________________________