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Hanko Designs Retail Order Form Name:______________________________________________________ Date:_______________________ Address:____________________________________________________ Telephone:( ______ ) _____________________ City:_______________________________________________________ State:_____________ Zip:________________ Country (if outside of the US):_______________________________ E-mail Address:__________________________________
Quantity	Item #	Description	Item Price	Total










Payment: (Circle One) VISA MasterCard Discovery Check ( Check#____________) Card#__________________________________________ Exp. Date____________ Print Name of Card Holder:____________________________________________ Bank Name on Card:__________________________________________________ Signature of Card Holder: X____________________________________________			Subtotal
			9.75% Sales Tax California Only
			*Shipping & Handling (See Below)
			Grand Total
Mail all orders to: Hanko Designs 875A Island Drive #286 Alameda, CA 94502 USA		Please note: * International orders will be billed additional airmail fees (Specify if surface shipment is preferred). - Credit card payments only for International orders. - Add sales tax for orders shipped to California addresses only. - Prices, Availability & Rates subject to change without notice.
Tel: (510) 523-5603 Fax: (510) 523-4265 E-mail: hanko @ hankodesigns.com Website: www.hankodesigns.com
Official use only: Order received:_______________________ Shipped:_______________________ by:__________

Order Total
$1.00 to $9.99
$10.00 to $29.99
$30.00 to $99.99
$80.00+

Shipping Cost - USA Destinations
$3.25
$5.25
$8.25
No Charge (USA Destinations)

Note: Effective July 19, 2011, Shipping rates and terms subject to change without notice.