Please Print and fill out form completely for Mail Orders
| Order Form | Doug Johnson Enterprises 5415 Alturas Drive Security, Colorado, 80911 Ph# 1-719-392-0126 |
| Name: | Cust# (if known): |
| Billing Address: | Shipping (if diff): |
| City/State/Zip: | |
| Country: | Phone: |
| (Billing address must match that of credit card.) | Email: |
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Type of Wood Oak, Cherry, Walnut |
Quantity |
Description ie,Standard Shadow Box, Flag Case size, Plaque |
Velvet Backing Color Blue,Green,Red |
Price Each | Total Cost of Item/s |
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| Credit Card # | Subtotal | = | |||
| Exp. | Colorado Residents Add 6.4% Sales Tax | + | |||
| Sign here for Credit Card: | Total Enclosed | = | |||
Payment accepted: Gov. IMPAC Card, Visa Card, Master Card, American Express, Discover Card, Certified Check, and Money Order.