Jay Vee Designs
 Order Form

Print this form and mail to the address at bottom of page with a money order or check made payable to:  Jay Vee Designs, Inc.

Credit Card Information:

Name on Card
Address
 
City  State
Zip Code Country 
Phone Number
Email Address
Type Credit Card (Circle One) Visa or MasterCard
Credit Card number
Expiration Date
 
Item #  Description  Qty  Price Ea. US$ Total US$ 
         
         
         
         
         
         
For shipments in New York State, please add 8.25% sales tax

Sales Tax (NY only) 

  
Shipping & handling (via UPS Ground) US $6.00
(US & Canadian orders) 		Postage   
Payment must be received before orders are shipped. Total enclosed  $ 

Send your order form and check or money order to the address below:
Jay Vee Designs
318 West 100th Street #7A
New York, New York 10025