POSTER ORDER
FORM
Please
print and mail to:
Motorcycle-Memories
757 Brushwood
Walled Lake, MI 48390
USA
|
Qty.
|
Code
No.
|
Brief
Description
|
Cost Each
|
Total
|
U.S. Shipping
Costs: Any quantity, Priority Mail - $5.00
Outside the U.S. - Canada - $5.00,
First Class International, any quantity - $12.00
METHOD OF PAYMENT
____ U.S. Personal Check ____ International Money Order
____ U.S. Money Order ____Master Card ____Visa
____Discover
Card No. _________________________________
Expiration Date _____ / _____
Signature ____________________________________
| Total for Goods | |
| Tax, MI residents 6% | |
| Shipping (see left) | |
| Total Amount Due |
ORDERED BY
| Name |
| Address |
| City, State, Zip |
| Country |
