MICHAEL FITZSIMMONS DECORATIVE ARTS Order Form
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Please fill out this form, print it, and fax it to us at (708) 763-8229

Or, if you prefer, call us with your order at (708) 763-8220    Thank you

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QTY

ITEM

OPTIONS

PRICE
EACH

TOTAL
PRICE
 

Shipping Charges (click here for costs)
 

Illinois residents please add 8.75% sales tax
  TOTAL
ORDER

 

Your Name: 

Shipping Address: 

City, State: 

Zip code: 

Phone Number, with area code: 

 Fax Number, with area code: 

Email Address: 

Credit Card Number: 

Expiration Date: 

/

Security code

 

Signature: 

____________________________________________

Billing Address, if different from Shipping: 

City, State: 

Zip code: 

*A confirmation of your order will be sent via e-mail or fax within two business days of receipt

Click here for our Returns policy