Michael C. Wise
CMR 420, Box 762
APO AE 09063-0762
ironwise3@yahoo.com
Make checks payable to MICHAEL C. WISE
Name:__________________________________________
Shipping Address:________________________________
City_________________State_________Zipcode_______
Daytime Telephone:_______________________________
Home Telephone:_________________________________
E-mail address:__________________________________
Product #____________Quantity__________
Product Description___________________________________________________
Requested date of completion:______________________
Your remarks about your order (size, colors, composition, special requests,
etc....)______________________________________________________________
___________________________________________________________________
___________________________________________________________________
Matting and Framing remarks for
painting/drawings:____________________________________________________
Matting and Framing Cost:_________________________
Shipping and Handling
remarks:______________________________________________________________
Shipping and Handling Cost:___________________________________________
Tax:__________________
Total Bill:______________
Signature_______________________________________