Sculptures, etc. by Claire

Printable Order Form
Mail to: Sculptures, etc. by Claire - 359 Neuse Winds Dr. - Oriental, NC 28571
or e-mail info below to: mail@sculpturesbyclaire.com

Due Date:____________________________
Club/Fleet:___________________________
Address:_____________________________
City:_______________State___Zip________
Att:_________________________________

Ship to:______________________________
Organization/Co:_______________________
Address:_____________________________
City:________________State___Zip_______
Att:_________________________________

Order placed by:________________________Title:________________________________
Day Phone:(____)___________Evening:(____)______________Fax:(____)_____________
e-mail:____________________@_______________________________.______________
Payment by check enclosed $___________  
visalogo.gif (1260 bytes) #__________-__________-__________-__________  exp. date: _____/_____
mclogo.gif (1517 bytes) #__________-__________-__________-__________ exp. date: _____/_____

Name on card (please print)_________________________________________

Signature_______________________________________________________

         Plaques

quantity size walnut/sim

sculpture description

metal sketch gold/silver color sketch wash
sketch
pen
sketch
price
each

Total

                     
                     
                     
                     
                     
                     
                     
                     
                     

                                                                                              Total Plaques $______.____
Other Awards

quan. item brochure title/description sculpture pen sketch gold/
silver
color sketch price
each
Total
    6x8x4.5" Bookends (pair)            
    6x8x4.5" Postit holder            
    6x8x4.5" Clock            
    6x8x4.5" Coaster caddy            
    Clock Plaque            
    12x15 Perpetual            
                 
   

Medallions

       

$6.00

 
   

4x4" Custom Coasters

       

$4.00

 
   

Beverage Can Huggers

       

$6.00

 

                                                              Total Honors/Coasters/Huggers $______.____

Placement Plates
Not required for color sketches or custom art

quantity silvertone goldtone 4 lines-$3.50 w/color burgee$4.00 add.lines each Total
          $.25  
             

                                                                             Total Plates $______.____

Placement Plate Information

line # information - up to
30 characters
number of places line # information - up to
30 characters
number of places
One     One    

Two

   

Two

   

Three

   

Three

   

Four

   

Four

   
           
           

Total Order

Total Plaques $______
Total Honors $______
Total Plates   $______
Sub-Total     $______
Rush Charges $______

If Sub-Total is greater than $300, 1% per $100 and pre or fully paid within 30 days of shipping {not available on rush orders})  Discount       $______

Sales tax (does not apply to sales outside North Carolina) 7% of Sub-Total               NC Tax         $______

East of Mississippi: UPS ground: Estimated shipping & handling - $9 plus 5% of Sub-Total *                 S&H              $______
West of Mississippi: UPS ground: Estimated shipping & handling - $11 plus 5% of Sub-Total *                 S&H              $______

Total Order    $______

New and International orders prepay in full in US dollars by check or Visa/MasterCard
Established accounts, prepay 50%     Total Enclosed    $______

*Pre-payment by check.  Please estimate shipping if paying by personal or club check.
If payment is by Visa or MasterCard, shipping costs will be calculated and posting will be on shipping date.
© 2007  Sculptures, etc. by Claire all rights reserved - last updated 11/15/2007

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