OrigamiCraftSupply.com   ORDER-BY-MAIL/FAX FORM  (please type in, then print)   Mail to: OrigamiCraftSupply.com - OriCraft, P. O. Box 193, Hillsdale, NJ 07642 USA Fax: 1-201-594-0207 (for credit card orders)
DATE: BILL TO:		SHIP TO: Same as BILL TO Ship to the address below
Full Name:		Full Name:
Address:		Address:
City:		City:
State / Zip:		State / Zip:
Country:		Country:
Phone Number:		Phone Number:
E-mail:		Please note that for credit card orders, "BILL TO:" address must be the same as the billing address of your credit card.
ORDER:	Description	Item#	Qty.	Price	Total
Sub-total:
NJ sales tax @7.00% (for NJ address):
Shipping & handling charge: ($5.75 within US / $22.75 to Canada / $32.75 to other countries)
TOTAL AMOUNT:
PAYMENT METHOD:		Amex	Visa	Master	Discover
		Check (payable to OriCraft)
	Credit Card Number:
Exp. (mm/yy):				Card Security Code:
	Signature:
Message: