Ordered by: Name:..... Address : City:........ State:....... Zip: Daytime Phone: Evening Phone: Ordered by: Name:..... Address : City:........ State:....... Zip: Daytime Phone: Evening Phone: First Selection: Name of Art Piece Quantity Unit Price Total Price-Item 1 Second Selection: Name of Art Piece QuantityUnit Price Total Price Item 2 Third Selection: Name of Art Piece QuantityUnit Price Total Price-Item 3 Fourth Selection: Name of Art Piece QuantityUnit Price Total Price-Item 4 Fifth Selection: Name of Art Piece QuantityUnit Price Total Price-Item 5 Sixth Selection: Name of Art Piece QuantityUnit Price Total Price-Item 6 Seventh Selection: Name of Art Piece QuantityUnit Price Total Price-Item 7 Eighth Selection: Name of Art Piece QuantityUnit Price Total Price-Item 8 Total for Merchandise............................ Add 6.75% sales tax if shipped to Ohio.... Shipping and Handling Charge . Grand Total.............................................. Shipping and Handling Charges: (All shipments insured) Add 18.5% of your order. Payment / Order Method: Payment Options Master CardVisaDiscoverAmerican ExpressCheckMoney Order Pay with Credit Card Number Expiration Date Month JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear Name on Card Amount for Order Enclosed How would you like your order sent? or this order now. Print Order Form and Mail with Payment to: World Bazaar 1500 Polaris Parkway suite 2138 Columbus, OH 43240   PLEASE ALLOW 2-4 WEEKS FOR DELIVERY