GARNAY, INC.

garnay@msn.com

  
DAR
Daughters of the American Revolution
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ORDER FORM

SHIP TO:
Name
Address
City                  State                  Zip             
Phone
ITEM #
QTY.
DESCRIPTION
DESIGN / SIZE
PRICE EA.
TOTAL
 $  $
 $  $
 $  $
 $  $
 $  $
 $  $
SHIPPING CHARGES
If your order total is: Add:
Sub-Total
$
up to $10.00
$2.00
Nevada Only -
Add Sales Tax
$
$10.01 to $20.00
$3.00
Shipping & Handling
Charge (left)
$
$20.01 and over
$4.00
TOTAL
$
Check or Money Order.
Amount Enclosed:
(Payable to GARNAY INCORPORATED)
   
Fax Orders Only.     Charge to: MASTERCARD VISA
Account Number:

 Please call (702) 341-8641 to provide credit card information.                 
Expiration Date:           Month            Year   

Signature: (Required)
   
Internet order.  Please call (702) 341-8641 to provide credit card information. 

          THANK YOU FOR YOUR ORDER!    


GARNAY, INC.  ·   P.O. Box 81410   ·   Las Vegas, NV  89180-1410
FAX (702) 341-8640   ·   Phone (702) 341-8641   ·   garnay@msn.com