Order Form

OriCraft          Order-by-Mail/Fax Form    (You can type in and print, or print and write in)
Mail to: OriCraft, P. O. Box 193, Hillsdale, NJ 07642 U. S. A., or Fax to: 201-594-0207 (For credit card orders)
BILL TO *:       SHIP TO  Same as BILL TO
Name:                   Shipto the address below
Address: Name:
              Address:
       City
     State   Zip        City
Country      State   Zip
Phone:   Country
Daytime phone: Phone number:
E-mail:
*For credit card orders, "BILL TO" address must be
the same as the billing address of your credit card.
ORDER:        Description
Qty.
Price
Total
US$   US$
US$   US$
US$   US$
US$   US$
US$   US$
US$   US$
US$   US$
Subtotal:
US$
NJ State Tax @7.0% (for NJ adress):
US$
(* $5.25 within U.S.postal codes/$13.95 to Canada/ $18.95 to others) Shipping Charge * :
US$
Total Amount:
US$
Payment Method    Visa Master   Check (payable to OriCraft)
Credit Card Number:                       Exp. (mm/yy)   /
Cardholder's name and address: Same as BILL TO  or

Cardholder's signature: