1. Please provide the following CONTACT INFORMATION: Name Street address Address (cont.) City State/Province Zip/Postal code Country Daytime Phone E-mail
1. Please provide the following CONTACT INFORMATION:
2. Please provide the following PRODUCT INFORMATION: Item Unit Price Quantity Sub Total Dali Lithograph $1199.00 $ Sales Tax: (8% California only) $ *Shipping & Handling $ Total Price $
2. Please provide the following PRODUCT INFORMATION:
Item
Dali Lithograph
$
*Charges for UPS ground shipment and handling will be added to your order for each item ordered in the amounts indicated on the table below. All orders will be insured. United States, Canada & Mexico Add $25.00 All other International locations: Add $50.00
*Charges for UPS ground shipment and handling will be added to your order for each item ordered in the amounts indicated on the table below. All orders will be insured.
3. Please enter SHIPPING ADDRESS: Street address Address (cont.) City State/Province Zip/Postal code Country 4. Or you can print this form and mail it to SGS Trading Group at the address below. 5. Mail your personal check, money order or cashier's check to: SGS Trading Group, 654 Berry Avenue, Los Altos, CA 94024
3. Please enter SHIPPING ADDRESS:
4. Or you can print this form and mail it to SGS Trading Group at the address below.
