Order Form

Complete Item Description - Including Size Price Quantity Total
       
       
       
       
       
Subtotal  
Shipping/Handling - Call for Amount  
S.C. Residents - Add 6% Sales Tax  
Total Due  

Billing/Shipping Information
Name  
Billing Address  
City  
State  
Zip Code  
Shipping Address (if different)  
Phone - Daytime  
Phone - Evening  
E-Mail  
City  
State  
Zip Code  
Payment Information
Payment Method ____Check        ____Money Order        ____Charge Card
Charge Card Type ____Visa     ____Mastercard     ____AmEx     ____Discover
Charge Card #                                          Exp. Date ___/___   V-Code______
Name (exactly as on card)  
Billing Address for Card  
Authorized Signature  

 

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  Vista Art

 

 

 

   Custom Framing & Art Gallery

 

 

 

 

   Order Information

 

 

                     E-mail - vistaart@bellsouth.net

                1752 Airport Boulevard - Cayce, South Carolina 29033

                 Telephone - (803) 794-7252 or (800) 559-7050

                        Fax - (803) 794-0085