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This order form consists of 2 pages. Please print and fill out both pages. You may fax your order to Fax: 718-358-0340 or mail your order to: M.K. Art 41-25 163rd. Street. Flushing, NY 11358 |
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| Please provide all of the information required below to process your order. | ||||
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First Name |
Last Name |
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| Street address | City | State | ZIP Code | |
| Phone | ||||
| Billing Address if different from above | ||||
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First Name |
Last Name |
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| Street address | City | State | ZIP Code | |
| Phone | ||||
| Payment information | ||||
| Visa [] | Master Card [] | American Express [] | Discover [] | |
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Credit Card Number |
Expiration date | |||
| Name exactly as it appears on the card | ||||
| Your credit card will be charged based on your order according to the prices offered on our website at the time of your order. We will notify you with the total amount charged on your credit card once processed. | ||||
| Thank you for your order. | ||||
| Page 1 of 2 | ||||
| Color | # Number | Qty 4oz. pkg. | Qty 8oz. pkg. | Qty 16oz. pkg. |
| Page 2 of 2 | ||||