"Gifts of enduring beauty"

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Order Form 
  • You may call us with your order via telephone 301-876-8385 or
  • You may print out the order form, fill it out and fax it to us 301-689-5602. (Please call us first in order for us to expect your fax)or
  • You may also choose to email your order to us at mindy@etchingsbymindy.com

 We accept all major credit cards.  (We do not accept AMEX at this time)

 

 SHIPPING and BILLING INFORMATION

Print Name: _______________________________________________________

                       

                        Company:_________________________________________________________

 

                        Address:__________________________________________________________

                     

                        City:________________________________State:_________________________

 

                         Zip/Postal Code:____________________________________________________

 

                        Phone:_______________________________Fax:__________________________

 

                        E-mail:____________________________________________________________

 

PAYMENT INFORMATION

 

Credit Card:

             

q       Visa            

 

q       Mastercard           

 

q       Discover   

 

Card Number: _____________________________________________________

 

Expiration Date:____________________________________________________

 

Cardholder Name:__________________________________________________

 

Cardholder Signature:_______________________________________________