Metal Art Web Order Form

To place an order please PRINT out this order form.

1) Choose the items from our website and enter the information on the order form.
2) Send this order form with payment by personal check (personal checks take 10 days to clear) or money order.
Make payable and send to:

Ray Bellew
5655 Mt. Hebron Rd.
Eclectic, Al. 36024
  

          Description          Price Each    x  Qty     =     TOTAL

     _________________    __________   x  ____    =   ________

     _________________    __________   x  ____    =   ________

     _________________    __________   x  ____    =   ________

     _________________    __________   x  ____    =   ________

             Shipping                     $6.00   x  ____    =   ________


                                                     FINAL TOTAL  __________

e-mail address: _______________________________

Name: ___________________________________________

Address: _________________________________________

              _________________________________________


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