Printable Memorial Orderform

Item:

Name and dates to be printed:
Example: SPOT
     1984 - 1996

Are you a Florida resident?
"Yes (add 6% sales tax)" "No (No sales tax)"

To figure Florida sales tax, multiply your sub
total by .06 and add that figure to your total.

Orderform Calculator

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Please fill in the following information:

Name:

Address:

Country:

Phone Number:

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E-mail:

Card Number:

Expiration Date:

Name on the card:

Any special instructions?

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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

		Orderform Calculator
Item Price:
Sales Tax:
Sub Total:
Shipping:
Total Order: