PRINT, FILL OUT, AND MAIL WITH PAYMENT HOME
Shades of Clay
Kelly Miloro 13902 Aquilla Rd. Burton, OH 44021
E-mail shadesofclay@adelphia.net
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| Quantity | Description/Color | Code | Price (x Quantity) | ||||||||
| Subtotal | |||||||||||
| $ 10 or less pay $1.50 | $11 to $15 pay $2.50 | Tax: add 6.5 % in Ohio | |
| $16 to $25 pay $3.50 | $26 to $50 pay $4.50 | IN U.S. «(see left) Shipping | |
| $51 to $75 pay $5.50 | $76 to $100 pay $6.50 | Total |
"Please make all checks payable to Kelly Miloro"
ALL RETURNS WILL BE HONORED AS CREDIT IF RETURNED WITHIN 30 DAYS WITH ORIGINAL RECEIPT. NO REFUNDS WILL BE ISSUED.
Date___/___/____ WE ACCEPT PERSONAL CHECKS OR VISA, MC, AND DISCOVER
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SHIP TO |
Telephone: |
You will be added to our mailing list, and you will receive tri-yearly show schedules and info. Your personal info will remain with us ONLY. We will not solicit orders by phone. NO [ ] Do not add my name |
| E-mail: | ||
| Name and
Address:
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CARD #________________________________________________
EXP DATE_________/_________ VISA MC DSCVR (circle one)
AUTHORIZED SIGNATURE_______________________________