Linton's Metalcraft
662 S. Hwy. 89-A - Kanab, Utah 84741
Phone (435)644-2459
Fax (435)644-5296
Date: Rustic Home Furnishings Order Form
Sold to:
Address:
City: State: Zip:
Ph.# Work#:
FAX
E-mail

Ship to:
Address:
City: State: Zip:
Ph.# Work#:
Physical Address only (NO P.O. Box)
Qty. Item # Description Silhouette Price Total

Payment

Money Order
Credit Card
   Please note: This is not a "secure" connection. If you would prefer not giving your credit card information, simply select the credit card as type of payment and leave the card information blank. We will contact you by telephone for the information needed.

Credit Card Information

Type of Credit Card

- - - Credit Card Number

Expiration Date

Name as it appears on the card

ALL ORDERS PRE-PAID WITH MASTER CARD, VISA or MONEY ORDERS.
PLEASE ALLOW 6-8 WEEKS FOR DELIVERY, REMEMBER ALL ITEMS ARE CUSTOM MADE ESPECIALLY FOR YOU. SATISFACTION IS GUARANTEED.

Sub Total
SHIPPING & HANDLING
 If you are using a credit card, actual shipping charges will be billed to your card.
On all other payments, shipping will be C.O.D. at actual cost.
TAX UT 7.75%

TOTAL


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