Order Form

Ebony Treasures & Art Gallery Order Form

Address:
113-35 Farmers Blvd.
St. Albans, New York 11412

Phone # 718-740-1700

You can Print the order Form page and mail order. Money orders and Checks. You can e-mail us if you have any Questions. info@ebonytreasures.com

Item #

Description

Qty

Price

Enter total amount of all items here

New York Residence add tax

Shipping and Handling Charges (see table below)

Total of all charges above

Shipping & Handling Charges
From $30.00 to $34.99	6.05
From $35.00 to $39.99	7.00
From $40.00 to $44.99	7.50
From $45.00 to $49.99	8.60
Over $50.00	9.10

Name

Organization

Address

Address2 (if needed)

City

State / Zip / Country

Email Address

Tele # / Fax #

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