| line |
Item |
quantity |
price |
total cost |
| 1 |
_________________________________________________ |
________ |
___________ |
___________ |
| 2 |
_________________________________________________ |
________ |
___________ |
___________ |
| 3 |
_________________________________________________ |
________ |
___________ |
___________ |
| 4 |
_________________________________________________ |
________ |
___________ |
___________ |
| 5 |
_________________________________________________ |
________ |
___________ |
___________ |
| 6 |
_________________________________________________ |
________ |
___________ |
___________ |
| 7 |
_________________________________________________ |
________ |
___________ |
___________ |
| 8 |
_________________________________________________ |
________ |
___________ |
___________ |
|
Payment method (circle one): credit card/check/money
order |
|
subtotal |
___________ |
|
Make checks payable to Sunfire Gallery. |
|
tax (if
applicable) |
___________ |
| |
Resale License # (if
required)_________________________ |
|
shipping |
___________ |
| |
|
|
order total |
___________ |
| |
|
|
|
|