ORDER FORM

Order date: ________________________________ Order # (will be given when order is sent): __________________

Company: ___________________ Contact Person:  _______________________ E-mail: ______________________

Address: ________________________ City: ____________ State:___Zip: _____ Tel: ________________________

 

quantity

 

quantity

 

Note card
$1.50

5 card pack
$7.00

Postcard
$.60

 

Note card
$1.50

5 card pack
$7.00

Postcard
$.60

Geneseo Crucifix

 

_______

 

_______

 

_______


Madonna & Child

 

_______

 

_______

 

Not Availulable

Pantocrator

 

_______

 

_______

 

_______



O. L. of Loving Compassion (I)

 

_______

 

_______

 

_______



Abbey Crucifix

 

_______

 

_______

 

_______


O. L. of Loving Compassion (II)

 

_______

 

_______

 

Not Availulable


Savior & Teacher

 

_______

 

_______

 

Not Availulable


O.L. of Tender Compassion

 

_______

 

_______

 

_______

Total quantities =

_______

_______

_______

+

_______

_______

_______

Subtotal =
Total Quantity X Price


(___x $1.50) + (__x $7.00) + (___x $.60)

+


(___x $1.50) + (___x $7.00) + (___x $.60)

Subtotal =


$________
+ $________ + $________

+


$________
+$________ + $_______

Subtotal =


$___________

+


$______________

Subtotal =


$___________

SUBTOTAL = $________
-Special Discount =   %15
.
                         
(New York residents, please add your sale tax. Tax Exempt organizations, please include certificate with order.)  +Tax = $________

+Shipping & Handling =  $          5.00

GRAND TOTAL = $________

Please email Minhkh@rochester.rr.com to notify your order.  It will help speed up your delivery.
An order is shipped out as soon as the Order Form and payment are received. Shipping will take approximately 2 to 3 business days. 
P
lease send the Order Form with check payable to New Helfta Atelier .  P.O. Box 464 . Geneseo, NY 14454

Thank you for your business.
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