Callaham Vintage Guitars and Parts

Printable Order Form (Retail Parts)

Print this form through your browser print button, manually fill it out (please write legibly), then fax it with your credit card info to (540) 678-8779 or mail it with money order, certified check or cc info to: ->		Callaham Guitars 217 Park Center Drive NEW Winchester, VA 22603 U.S.A

Date:___________________
Ship To:	Name:	___________________________________________________
	Address:	___________________________________________________
		___________________________________________________
		___________________________________________________
	Phone #:	(Day Time)__________________________________________
	E-mail:	___________________________________________________

Part Description Quan Price Total

______________________________________________ ____ $________ $________

______________________________________________ ____ $________ $________

______________________________________________ ____ $________ $________

______________________________________________ ____ $________ $________

______________________________________________ ____ $________ $________

______________________________________________ ____ $________ $________

______________________________________________ ____ $________ $________

______________________________________________ ____ $________ $________

______________________________________________ ____ $________ $________

Payment:
____ money order ____ cashier's check
____Mastercard ____Visa
Credit Card #: (16)_________________________
Expiration Date: ______________________ (3)__

Parts Total: $________
VA Sales Tax (5%): $________
Shipping: $________
Total: $________

Name on Card:______________________________________________
Billing Address:_____________________________________________
__________________________________________________________
__________________________________________________________
Phone #:__________________________ E-mail:___________________
Signature:

_________________________________________ Back 12/24/07

Part Description	Quan	Price	Total
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