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Order Form
Please use this form if you prefer to mail or fax your order.
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| Mail To: Graco Awards - 177 Georgia Ave - Providence, RI 02905 |
| Fax To: 401-467-4770 Questions? 800-663-7487 |
| Bill To: |
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| Name: |
_________________________________ |
| Street: |
_________________________________ |
| City: |
___________________ State ___ |
| Country: |
___________________ Zip________ |
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| Ship To: |
□ Same as Billing |
| Name: |
________________________________ |
| Street: |
________________________________ |
| City: |
___________________ State ___ |
| Country: |
___________________ Zip________ |
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| Method of Payment: |
___ |
Cashier's Check/Money Order
(No Personal Checks) |
___ |
Credit Card Visa MC Amex
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Number |
__________________________________ |
| Phone Number |
(_____) |
____________________ |
Exp. Date |
___________ |
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Signature |
__________________________________ |
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| Item Number |
Quantity |
Description |
Price Each |
Total |
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| Items Total > |
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| Shipping will be calculated at time of quote |
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| Subtotal > |
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| Residents of RI Must Add 6% State Sales Tax > |
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| Order Total > |
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