Snellen Enterprises, LLC, DBA Painters’ Emporium Order Form

Link back to Painter's Emporium.Com

Order by Phone/Fax (573) 796-2176
Or print and mail this form with payment and info to;
P.O.Box 193, California MO 65018
(This form's background color will not print.)

Ship to______________________
____________________________
Address_____________________
____________________________
City_________________________
State / ZIP___________________
Telephone____________________
Payment Method;
VISA_____   MasterCard_____
Credit Card Number______________________
Exp. Date_________
Check / Money Order_____

How Many Book Name Price

Banding Tool $1.50





PLEASE NOTE:
All Visa and Master Card Charges
will show on your bill as Snellen Saddlery.
Absolutely no refunds or exchanges.
A charge of $25.00 will be made
for any returned check.

Sub-Total

MO residents add
5.225% sales tax

Shipping (Priority Mail)
or
Shipping (Regular Mail) $3.50
or
$1.50 each

Total Amount Due

Thank You!

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Order by Phone/Fax (573) 796-2176 Or print and mail this form with payment and info to; P.O.Box 193, California MO 65018 (This form's background color will not print.)
Ship to______________________ ____________________________ Address_____________________ ____________________________ City_________________________ State / ZIP___________________ Telephone____________________		Payment Method; VISA_____ MasterCard_____ Credit Card Number______________________ Exp. Date_________ Check / Money Order_____

PLEASE NOTE: All Visa and Master Card Charges will show on your bill as Snellen Saddlery. Absolutely no refunds or exchanges. A charge of $25.00 will be made for any returned check.	Sub-Total
	MO residents add 5.225% sales tax
	Shipping (Priority Mail) or Shipping (Regular Mail)	$3.50 or $1.50 each
	Total Amount Due
Thank You!