Printable Order Form (Retail Parts) | ||
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Callaham Guitars 217 Park Center Drive Winchester, VA 22603 U.S.A |
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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)_________________________ |
Parts Total: $________
VA Sales Tax (5.3%): $________ Shipping: $________ Total: $________ |
Name on Card:______________________________________________ Billing Address:_____________________________________________ __________________________________________________________ __________________________________________________________ Phone #:__________________________ E-mail:___________________ Signature: |
_________________________________________ | Back | 08/28/13 |