AMERICAN PAINTBRUSH-
ORDER FORM

This form can be printed and faxed or mailed for placing an order.

Name:
_______________________________________________________
Address:
_______________________________________________________
City/State/Zip code:
_______________________________________________________

UPS Shipping Address:

Address:
_______________________________________________________
City/State/Zip code:
_______________________________________________________

Item Name

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

____________________________________

Qty

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

_________________________________

Sub total:
Shipping:
Total:
Tax:
Tx add 8.75%
Amount due:

Price

__________________

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__________________

__________________

__________________

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You may fax this form to 817-236-0015 or mail it to:
American Paintbrush
P.O. Box 136550
Fort Worth, TX 76136-0550

If you have any questions please call us at 800-356-6733.

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All Contents Copyright ?2003, Guildhall Inc. All Rights Reserved.

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