OTTMAR Template

* Must be filled in.

Customer Information:

Name:*

Email:*

Daytime Phone:*

Address to be shipped to:

Address 1:*

Address 2:

City:*
State/Territory*:

Zip:*
Country: *

Please enter the description, item number, and price of each item below.

`Description/model -`*`Example`*	No.	`$ Each`
Rio Di S. Maria Formosa (I & II)	005	60.00
`Description/model`		`$ Each`





Sub-Total
Florida Residents add 6.5% sale tax
Shipping and Handling in USA add $10.00 per unit
Shipping and Handling World Wide add $30.00 per unit
Grand Total

Method of payment:
Check
Money Order

If Payment is by Check:
Please allow an additional two weeks time for shipping. Due to Check processing time.

If Payment is by Money Order:
The piece(s) will be sent immediately upon reciept of the Money Order

Upon recieving your order request, we will contact you to confirm the order and method of payment.