ADZART ORDER FORM

ITEM CODE#
ITEM NAME
DESIGN PREFERENCE or CODE# (if different)
COLOR PREFERENCE or CODE# (if different)
SIZE
HOW MANY?
PRICE
TOTAL
             
         
              
         
              
         
              
         
              
         
TOTAL
 
FOR SHIPPED ORDERS:
ADD $3.20 FOR THE 1st ITEM & $1 FOR EACH ADDITIONAL ITEM (add .50 if sox, bandannas, boxers, G-strings)
 
SEND CHECK OR MONEY-ORDER PAYABLE TO:
ADAM MAIALE, 204 W. 13th AVE, NORTH WILDWOOD, NJ 08260
GRAND TOTAL
 

Name___________________________________________________________________________________________________________________________________________
Sreet Address ____________________________________________________________________________________________________________________________________
City_______________________________________________________________________________________State__________________Zip_____________________________
Phone #_________________________________________________________E-Mail__________________________________________________________________________
(NOTE: I only need Phone # to confirm order)             CHECK HERE (      ) TO BE INCLUDED ON MY E-MAILING LIST FOR UPDATES ON MY LATEST ART.
Please, fill in your mailing address.

First Name

Last Name

Street Address

Apt., Suite #, etc.

City , State

Zipcode

Phone Number ( )
(Note: I only need your phone # to contact you & confirm your order. I don't need it if you check your email regularly.)


what do you want to give me?

pick a #:say what?

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