Printable Form

Home

Products

Kinkade

Custom Framing

Sue's Stamp
Garden

Christian Art

Printable Order Form

Manitowoc Art
814 Washington St.
Manitowoc, WI 54220
manitowocart@lakefield.net

Your name:________________________________________________
Address:___________________________________________________
City:___________________________State/Province_______________
Zip/Postal code:_______________________
Country (outside U.S.):_______________________________________
Phone Number:_____________________________________________
E-mail address:_____________________________________________
All information will be kept confidential

Qty.	Item Description	Price	Total










	Subtotal
	WI State Sales Tax (5%)
	Shipping
	Total

Credit Card Information
Credit Card Info: (Circle one) MasterCard Visa
Card No. ________________________________________
Expiration Date: _________________________________
Name as it appears on card: _______________________

Checks
Checks must clear before shipping--or money orders may be made out to Manitowoc Art and sent to the above address.

Shipping Charges:
Up to $25.00 add $3.95 shipping
$25.01 - $50.00 add $4.95 shipping
$50.01 - $100.00 add $5.95 shipping
$100.01 and up will be determined by weight