Order Form
ORDER BY:
Name:
Address:
Phone:
(
)
-
(please leave the phone# that you can be reached in the late evenings)
E-Mail:
(if you have an e-mail address)
SHIP TO:
(If different than ordered by)
Name:
Address:
Phone:
(
)
-
Item #
Description
QTY
Color
(if applicable)
Unit
Price
Total
Price
Sub Total:
Shipping:
Tax: (CA residents add 8.25%)
TOTAL:
Note: Once we receive the order, one of our representative will phone you to confirm the order.
Once the order is completed and the check is received, we will ship out the order. Thank you!
sanjiniya@usa.net
1998 Sanjiniya All Rights Reserved
sanjiniya@usa.net