outdoor fountain.com

outdoorsfountain.com
Email :
Toll Free : 800 - .515 - 1977
Fax : 916 - 515 - .1639

Fax / Mail Order

Order Form

Amfora Co 7145 Watt Ave Ste 5
North Highlands CA 95660
Phone 1 800 515 1977 Fax 916- 515 1639
Email sales@italartworld.com

Order Information
Item name


Quantity
Total
Freight
Total

Billing Information

Please list your billing address. This is also the address to which products will be shipped unless otherwise specified below.

Address
City
State
Zip
Email

Credit Card (Circle one): Visa / MasterCard / American Express

Signature

Shipping Informations

Only complete this area if you would like the products shipped to an address other than the one listed above (i.e. a gift).

Address
City
State
Zip

Special Instructions

Note any special instructions below:


Amfora Co 7145 Watt Ave Ste 5
North Highlands CA 95660
Phone 1 800 515 1977 Fax 916- 515 1639
Email sales@italartworld.com