Callaham Vintage Guitars and Parts (Printable Order Form)

Printable Order Form (For Retail U.S. Orders Only)

Print this form through your browser print button, manually fill it out (please write legibly), then mail it with money order, certified check or cc info to: ->		Callaham Guitars 217 Park Center Drive Winchester, VA 22603 U.S.A
Or just call (540) 678-4043 and place a phone order.

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 (5.3%): $________
Shipping: $________
Total: $________

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

_________________________________________ Back 08/23/24

Part Description	Quan	Price	Total
______________________________________________	____	$________	$________
______________________________________________	____	$________	$________
______________________________________________	____	$________	$________
______________________________________________	____	$________	$________
______________________________________________	____	$________	$________
______________________________________________	____	$________	$________
______________________________________________	____	$________	$________
______________________________________________	____	$________	$________
______________________________________________	____	$________	$________