Bowers Wildlife Studio

BILL TO:

Name:

Address:

City:

State:

Zip Code:

Phone #:

SHIP TO:

Name:

Address:

City:

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Zip Code:

Phone #:

E-Mail:

QTY	ITEM #	DESCRIPTION	PRICE

Shipping Charges

Up to $20.00	$4.75
$20.01 - $30	$5.75
$30.01 - $50	$6.98
$50.01 - $99	$9.00
$100 & up	10% of Subtotal ($30 Max.)

Subtotal
6% NJ Tax
Shipping
Total Due

**For all overseas orders, please contact the Artist
Please print and send this form along with a check or money order payable to: Irene V. Bowers
4 Sycamore Road
Milford, NJ 08848-1508
(908) 995-2558
Ordered items will be sent 7-10 days after check is received.

GIFT CERTIFICATES Certificates start at $10.00 and will be sent, if requested, to the recipient of your choice along with my catalog. A special message will be included if you wish. Post charge for the certificate/catalog, $1.00.