P.O.  Box 2269
Maple Falls, WA  98266
info@marbled-arts.com

Name__________________________________________________

Address________________________________________________

City_________________________State______________Zip______

Phone_______________________Email______________________

Color

Pattern

Quantity

Price

Amount
         
         
         
         
         
         
         
         
         
         
         
         
         

SubTotal             ____________                                                                                                                                                                          

S&H                    ____________

Tax (WA 8.4 %)  ____________

Total                    ____________

Payment:                                                           

Check __  Money Order __ 

Visa__  MasterCard __

Credit Card # ________________________Exp. Date ___/___

Signature if mailing order: ___________________________________________