"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 or
  • You may also choose to email your order to us at mindy@etchingsbymindy.com. 

 

  We accept all major credit cards.  

 

 

 

           *All faxed and emailed orders will be confirmed either by email or telephone.

 

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       American Express             

 

q       Discover     

 

Card Number: _____________________________________________________

 

Expiration Date:____________________________________________________

 

Cardholder Name:__________________________________________________

 

Cardholder Signature:_______________________________________________ 

 

                                                            

 


 

First Item:

 

    Item #_________

 

    Quantity_______

 

    Engraving (1st  Line)________________________________________

 

                      (2nd Line)________________________________________

 

                      (3rd Line )________________________________________

 

    Artwork#________

 

    Font# ___________

    Unit Price_$_________x Quantity_________=Total _$_______________

 

       

 

 

Second Item:

 

    Item #_________

 

    Quantity_______

 

    Engraving (1st  Line)________________________________________

 

                      (2nd Line)________________________________________

 

                      (3rd Line )________________________________________

 

    Artwork#________

 

    Font# ___________

 

    Unit Price_$_________x Quantity_________=Total _$_______________

 

 

 

Third Item:

 

    Item #_________

 

    Quantity_______

 

    Engraving (1st  Line)________________________________________

 

                      (2nd Line)________________________________________

 

                      (3rd Line )________________________________________

 

    Artwork#________

 

    Font# ___________

 

    Unit Price_$_________x Quantity_________=Total __$______________

 

 

 

Fourth Item:

 

    Item #_________

 

    Quantity_______

 

    Engraving (1st  Line)________________________________________

 

                      (2nd Line)________________________________________

 

                      (3rd Line )________________________________________

 

    Artwork#________

 

    Font# ___________

 

    Unit Price_$_________x Quantity_________=Total _$_______________


*For additional items print and fill out another order form

 

        Add all Totals:   ______________

 

        5% Sales Tax     ______________

 

        Shipping:              ______________

        Total Order:        ______________
 
Make sure all information, including spelling and dates, is correct.

 

                                                                                                                   

 

        

 

 

 

 

 

 

 

 

 

 

 

 

Etchings by Mindy

 

301-876-8385

 

Frostburg, MD 21532 

 

e-mail: mindy@etchingsbymindy.com