Soho Design Order Form

Ship to Address:
Name:		Address:
City/State/Zip:		Phone Number:
Email Address:
Method of Payment:
Check	Money Order	Master Card	Visa
Credit Card Account Number:		Expiration Date:
Cardholder Name and Address if Different from Above:
Name:		Address:
City/State/Zip:		Phone Number:

Item #	Color	Size	Quantity	Item Name/Description	Total Price

GIFT CERTIFICATES (Check one):	$25	$50	$75	$100
Number of Gift Boxes ($4.00 Each)
Shipping & Handling (up to $24.99 = $2.95 , $25 to $49.99 = $3.95 , $50+ = $4.95)
Add 6.75% Tax if shipped to NY State Address			Yes	No
THE TOTAL CHARGE WILL BE COMPUTED FOR YOU

GIFTS:
If you are purchasing a gift, we will place your order in a wrapped gift box and send along a personalized gift message from you to the recipient. There is a $4 charge for a wrapped gift box and a personalized message. Type your gift message in the following box:

STUDENTS
If you're living away from home, please fill in your permanent home address.

Home Address:
City/State/Zip:
Phone Number:

Click here to preview and then submit your order

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