PaulJulia Designs Order Form

Billing Address:

Address:

State:

Phone:

e-mail:

Send your Order to:

PaulJulia Designs
P. O. Box 44
Malden, MA 02148

ORDER FORM: You can fill in this form online and print it out.
Otherwise you can print the Text Order Form in Word document.

Item #	Description	Qty	Price	Subtotal

PRICE RANGES ($)	USPS SHIPPING COST ($)
0.01 - 29.99	3.00
30.00 - 49.99	7.00
50.00 - 79.99	8.00
80.00 - 139.99	9.00
140.00 and up	14.00

Mail this form along with your payment to the address above.

NOTE: If paying by credit card please provide your full credit card billing address otherwise I won't be able to process your payment.

Order Sub Total:
Gift Wrap ($ 10.00):
MA 5% Sales Tax:
USPS Insurance (optional):
USPS Mail Shipping:
TOTAL:

CUSTOMER INFORMATION

Billing Address:

Name:

Address:

City:

State:

Zip:

Phone:

e-mail:

Shipping Address (Leave blank if shipping to address as above):

Name:

Address:

City:

State:

Zip:

Phone:

e-mail:

Additional Instructions:

Any additional instructions?...

Method of Payment (Payable to "PaulJulia Designs")

Money Order check

Credit Card: Visa MasterCard Discover American Express

Credit Card #:

Expiration Date (MM/YY):

Signature of Card Holder:

If you fill in the form please clear form and close window after printing.

I also able to take your order via Fax or Phone (if payment method is credit card).
Fax your complete form to 781-321-2605 (secure).

If order via phone, please call me at 781-321-2605 (please leave a message if I am not available to take your call) and I will get back to you as soon as possible.

Method of Payment (Payable to "PaulJulia Designs")
Money Order	check
Credit Card:	Visa	MasterCard	Discover	American Express

Credit Card #:		Expiration Date (MM/YY):
Signature of Card Holder: