Printable Order Form

Item:
Please choose the model would like to purchase:
Spartan (39 Cu. In.) - $85.00
Roman (39 Cu. In.) - $98.00
Athenian (86 Cu. In.) - $130.00
Olympus (205 Cu. In.) - $248.00
Olympus-P (205 Cu. In.) - $248.00
Olympus-C (205 Cu. In.) - $248.00

Would you like the Urn Engraved? ($3.00 Minimum.)
Yes No

Text to be engraved:
Example: SPOT
     1984 - 1996

Are you a Florida resident?
Yes (add 6.5% sales tax) No (no sales tax)

To figure Florida sales tax, multiply your sub
total by .065 and add that figure to your total.

Urn Price: Orderform Calculator

Engraving:

Sales Tax:

Sub Total:

Shipping:

Total Order:

Please fill in the following information:

Name:

Address:

Country:

Phone Number:

Form of payment:

E-mail:

Card Number:

Expiration Date:

Name on the card:

Any special instructions?

Name:
Address:
Country:
Phone Number:
Form of payment:
E-mail:
Card Number:
Expiration Date:
Name on the card:

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Cut Here

If paying by credit card, you can fax your order to...

1-800-409-0314.

Or mail your order to...

Imagination Publications
1910 Needle Palm Dr.
Edgewater, FL 32141

Urn Price:		Orderform Calculator
Engraving:
Sales Tax:
Sub Total:
Shipping:
Total Order: