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WRM GRAPHICS • Order Form •
• LAYAWAY PLANS ARE AVAILABLE ON ANY ITEM • For information - E-MAIL or call 352 245-2922
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To receive our brochures and be placed on our mailing list E-MAIL your name and address. ___________________________________________________________________________________ TO ORDER BY PHONE - CALL (352) 245-2922 or TO PLACE AN ORDER BY MAIL - Print the completed order form below and mail to:
WRM GRAPHICS • 13073 SE 97 Terrace Rd. • Summerfield, FL 34491
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Fill out the address box and Payment method form - then make selections below. ORDER FORM
NAME _______________________________________________________________________________________
ADDRESS (NO PO BOX #) ______________________________________________________________________
CITY _______________________________________________________ STATE _________ ZIP _____________
PHONE NUMBER (INCLUDE AREA CODE) __________________________________________________________
PAYMENT METHOD
MASTERCARD __________ VISA __________ MONEY ORDER ___________ CHECK # ___________________
EXACT NAME ON CARD (PRINT) __________________________________________________________________
CARD NUMBER ____________________________________________ CARD EXPIRATION DATE _______________
SIGNATURE ___________________________________________________________ DATE ___________________
To order any item, fill in the quantity, item title, type, and price.
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When you are done, total all prices, including shipping and tax (if applicable). WE THANK YOU FOR YOUR PATIENCE AND THE ORDER.
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