Simply Marvelous Order Form

Order Form


	*Simpyly Marvelous Art Order Form*


	Farmers Marketr

	*159-15 Jamaica Ave.*

	*Jamaica N.Y. 11432*

	*Phone : 1-718-291-9862*


	*e-mail :* *sales@simplymarvelousart.com*

	*Phone : 1-718- 465-2914*

	*Fax : 1-718- 465-2914*

Name of Item	Size	Quanity	Price

Enter Total Amont of all items here
N.Y.S. Residents add Tax here
Total items and Tax enter here


	Credit Card (MC/VISA)


	Name on Card


	Credit Card Number

		Exp. Date

	Billing Address
Name
Address
City
Country
State
Zip
E-mail


	Comments and Remarks


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