Order Form

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email: juline@julinedesigns.com
JULINE DESIGNS
22 Crecienta Lane
Sausalito, CA 94965-1841

FAX: 415 331-3299

Please print out this page to send via mail or fax.

Name
_____________________________________________________________________

Address
_____________________________________________________________________

City
______________________________________________
State/Province
_______

Country
_______________________
ZIP Code
_______

Phone:
_______________________
Fax: ____________________

email:
_______________________

Method of payment:
credit card ___
check ___

Credit Card #
______________________________________________

Expiration Date:
_______________________ MasterCard ___ Visa ___

Just write in what you'd like. For Abstract items, include style name and color option. For Free Form items, include choice of border color and whether you want bright or muted colors. Questions? Drop me an email.

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Total number of items ordered:
____________________

Total dollar amount of items ordered:
_$__________________

Prices include all applicable tax:
_$__________0.00____

Shipping and Handling included
_$__________0.00____

Total amount enclosed (or authorized to charge):
_$__________________

Signature:
____________________________________________
Date: ______________

Delivery preference:
UPS ___ US Priority Mail ___

Return Home | Price List

email: juline@julinedesigns.com JULINE DESIGNS 22 Crecienta Lane Sausalito, CA 94965-1841 FAX: 415 331-3299

Please print out this page to send via mail or fax.


Name	`_____________________________________________________________________`
Address	`_____________________________________________________________________`
City	`______________________________________________`		State/Province	`_______`
Country	`_______________________`		ZIP Code	`_______`
Phone:	`_______________________`	Fax: `____________________`
email:	`_______________________`
Method of payment:	credit card `___`	check `___`

Credit Card #	`______________________________________________`
Expiration Date:	`_______________________`	MasterCard `___` Visa `___`

Just write in what you'd like. For Abstract items, include style name and color option. For Free Form items, include choice of border color and whether you want bright or muted colors. Questions? Drop me an email.

`________________________________________________________________________________________`

`________________________________________________________________________________________`

`________________________________________________________________________________________`

`________________________________________________________________________________________`

`________________________________________________________________________________________`

`________________________________________________________________________________________`

`________________________________________________________________________________________`

`________________________________________________________________________________________`

`________________________________________________________________________________________`

Total number of items ordered:		`____________________`

Total dollar amount of items ordered:		`_$__________________`

Prices include all applicable tax:		`_$__________0.00____`


Shipping and Handling included		`_$__________0.00____`

Total amount enclosed (or authorized to charge):		`_$__________________`

Signature:	`____________________________________________`		Date: `______________`

Delivery preference:	UPS `___` US Priority Mail `___`