Jayed Art Group Order Form
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ORDER FORM FOR ACRA MEMBERS

All items ordered on this form must be delivered to the same "SHIP TO" address.  For additional orders shipped to other addresses, please copy this form.  Please print or type the requested information into the form and print this page.

SOLD TO:

Name                 
Address             

City, state, zip 

Phone                

Email                 

SHIP TO: 

Name                 
Address             

City, state, zip 

Phone                

Email                 
       

    

Legal Illumination print
ACRA SPECIAL PROMOTION
   
ACRA Donation
$35.00
   
ACRA Special Sales Price
45.00
Sales Tax* (10%)
4.50
Total Due to Jayed Art Group
$49.50
   
Total Cost per print 
$84.50

Number of prints:

                         x $84.50

Total:               

Please include two checks for each print ordered:
Check to ACRA for donation amount
Check to Jayed Art Group for sales price plus tax

Mail to: Jayed Art Group
              242 Holly Brook Drive
              Montgomery, AL  36109