ORDER FORM
GARNAY INCORPORATED
P.O. Box 81410
Las Vegas, Nevada 89180-1410
Phone Toll Free: 866-341-8641
E-mail Address:
nvgarnay@msn.com
SHIP TO:
Name
Address
City
State
Zip
Phone
QTY.
DESCRIPTION
SIZE
MATERIAL
PRICE
TOTAL
SHIPPING CHARGES
Shipping & Handling
$5.00 for Each Marker
Sub-Total
Nevada Only -
Add Sales Tax
Shipping & Handling
Charge (left)
TOTAL
THIS SECTION FOR CREDIT CARD ORDERS ONLY
Charge to:
MASTERCARD
VISA
Card Account Number (Please list ALL numbers on card):
Name exactly as it appears on your credit card:
Expiration Date (Month & Year):
Signature (We need expiration date and signature to ship your order:
THANK YOU FOR YOUR ORDER!