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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  
8.75% 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:__________

* US Shipping & Handling Rates

Order Total



Shipping

$1.00 to $14.99
$15.00 to $29.99
$30.00 to $49.99 
$50.00 to $99.00
$100+
Rates Effective: 5/14/2007
$4.90
$6.75
$8.25
$9.25
No Charge

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