~ Jabberwocky Graphix Mail Order Form (six items/one-page version)~ Just print out (click File, then Print) and fill in! Please PRINT CLEARLY. Thanks!
Name ________________________________________________________________________ Address _____________________________________________________________________ City __________________________________________________ State_______________ Country: ______________________________________________ Zip ________________ e-mail: ____________________________________ (to send your order confirmation) Title/Description / Quantity Shipping code Amount ___________________________________________________|_________|_______________ | | ___________________________________________________|_________|_______________ | | ___________________________________________________|_________|_______________ | | ___________________________________________________|_________|_______________ | | ___________________________________________________|_________|_______________ | | ___________________________________________________|_________|_______________ | | ___________________________________________________|_________|_______________ Sub Total: | _____________________________________________________________|_______________ SHIPPING: Value of the highest letter code above (see below):| _____________________________________________________________|_______________ Texas residents add 8.25% SALES TAX here: | _____________________________________________________________|_______________ GRAND TOTAL - AMOUNT ENCLOSED: | _____________________________________________________________|_______________ POSTAGE & SHIPPING COSTS (These are for orders in USA or Canada only. If ordering from outside that area, please contact us for an exact shipping quote.) A = $1.00 B = $5.00 C = $6.00 D = $10.00 E = $30.00 or $40.00* To figure your total, list the letter codes for everything you ordered, and add in only the value for the highest amount. Example: If you ordered six things, and the letter codes were B B C D A, the highest code in there is D, which is a value of $10, and thatis the total shipping you would add for that particular order. * (If your order has an E code, contact us to discuss the two different price options.) All orders are shipped through US Postal System, as either First Class or Priority Mail, with insurance and tracking codes included. Payment Method [ ]Check or money order made payable to: Brad W. Foster [ ]Credit Card: [ ]Mastercard [ ]VISA [ ]Discover [ ] American Express Credit Card Number: _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ Expires: _ _ / _ _ CVC/CVV # (last three numbers in signature area on back of card): _ _ _ Card billing address/zip code if different from shipping address (to confirm card is yours) _______________________________________________________________________________________ Name exactly as it appears on Credit Card:______________________________________________ Mail this form & payment to: Jabberwocky Graphix, PO Box 165246, Irving, TX 75016 USA Questions? Contact us at info@jabberwockygraphix.com and we'll help you out!