Print-Out Order Form

Date:     _______________

Name:     _________________________________________________
Address:  _________________________________________________
City:     _______________ State ______ Zip Code ___________
Tel:      ____________________________ 
FAX:      ____________________________
e-mail:   ____________________________

Visa or MC #  ________________________ Expiration date ____

Signature     ________________________

ORDER SHEET
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Product Description       Quantity     Unit Price       Total
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                                         Sub Total   ___________

                                         Sales Tax   ___________

                                          Shipping   ___________

Check#  ______  COD  ___  Charge  ___      TOTAL     ___________

FAX number(Business hours PST only):

MAGNOLIA EDITIONS
(510) 893-8334 fax
(510) 839-5268 tel.

Mailing address:

MAGNOLIA EDITIONS
2527 Magnolia St.
Oakland, CA 94607

See ORDER for shipping, packing and sales tax information.

Thank You