Kumquat Art & Home Accessories Order Form

Kumquat Art & Home Accessories Order Form

To order, please print out this form, complete the information below and mail, email or fax it to 415-752-2144. Please allow 2 weeks delivery within the Continental U.S. Due to the fact that all of our items are handmade, some items may take up to 6 - 8 weeks but this should be noted on our website if it is not currently in stock. You will be notified regarding a longer delivery time. If you need for a specific date or occasion, please note on order. Gift wrap is complimentary (our kraft box with orange ribbon).

Name___________________________________________

*Address_________________________________________

________________________________________________

City____________________________________________State__________Zip_____________

Phone Number (day)_________________________(evening)___________________________

Fax Number________________________E-Mail_____________________________________

Items Ordered:

Item & Description Quantity Unit Price Total

______________________________________ _______ _________ __________

Subtotal __________

Sales Tax (CA residents add 7.25%) __________

(San Francisco add 8.5%)

Shipping see shipping chart below) __________

Payment Options:

Mastercard / Visa / American Express

Credit Card Number: ____________/____________/_____________Exp.Date__________

*Cardholder Name: _________________________________________

4 digit AX code/ 3 digit M/V code_______

Cardholder Signature: _______________________________________

* Cardholder Name and Shipping Address must match Billing Address

Shipping Fees:

for orders totaling include for orders totaling include

up to $25.00-$39.00 $ 8.50 $70.00-$99.00 $14.50

$40.00-$49.00 $ 9.50 $100.00-$149.00 $17.00

$50.00-$59.00 $10.50 $150.00-$249.00 $21.00

$60.00-69.00 $12.00 $250.00-$499.00 $25.00

$500.00 - $5K $45.00

For RUSH orders, you will notified of extra charges that UPS would charge, AK and HI there is a surcharge.