Order Form
Mail / Fax or E-Mail attachment
S. Shaffer's WoodEffects
P.O. Box 2245
Cypress, California 90630-1745
Please provide all the information requested below when placing your order. Thank
you
Fax Orders: Transmit this form to (714)-821-0400.
Mail Orders: Print this form and send with your payment to the address above.
Type of Order: [ ] Bookstore [ ] Photo Gallery [ ] LogoLink [ ] Referral Network
Type of Submission: [ ] Catalog [ ] Tool [ ] Classified [ ] Software [ ] URL
Contact Information for shipping / billing or questions in reference
to an order
or submission of subscription requests / referral network / photo gallery
Company
Name:
Address:
City:
State:
Zip Code:
Telephone:
Fax #
E-Mail
Site URL
Ad copy to read as follows:
1
2
3
4
5
# Of Photographs [_______] State of Origin [______________________________]
Additional comments or inclusions:
Bookstore
| Loc. # |
Description
|
Qty |
Price Each |
Subtotal |
Ca. Residents Add 7.5%
Book Orders Add $3 shipping for every 2 books ordered
Method of Payment: [ ] Check [ ] Money Order
[ ] Bill Me Later [ ] C.O.D.
Signature:______________________ Please
Sign for COD and Delayed Billing
[ ] URL SUBMISSION [1__________________________________________________]
[ ] URL SUBMISSION [2__________________________________________________]
[ ] URL SUBMISSION [3__________________________________________________]
[ ] URL SUBMISSION [4__________________________________________________]
Ship to address if different than above
Name:
Address:
City:
State:
Zip Code: