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