Minds Eye Design
1 Jefferson Court Ann Arbor MI 48103
ph 989 493 1804 fax 866 337 8126
mindseyecards@yahoo.com
order date __________________________
ship date ___________________________
sales rep____________________________
po # ______________________________
____new account ____ reorder
Bill to:
company___________________________
attention ___________________________
street______________________________
city state zip ________________________
telephone___________________________
fax _______________________________
email______________________________
web address_________________________
Ship to:
company__________________________
street______________________________
city state zip ________________________
telephone___________________________
fax________________________________
Terms
______net 30 ____pre-paid check
______visa _____mastercard
account #__________________________
expiration date______________________
name on card_______________________
signature__________________________
Ship via
_____UPS ground ____USPS
_____other_________________________
Comments:
______________________________________
______________________________________
______________________________________
______________________________________
__________________
Qty
|
Style #/ Description
|
Cost
|
Total
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
|