CEDAR KEY CANVAS PRINT AND FAX ORDER FORM
* This file prints as two pages *
Then please fax it to us at 1-352-543-5199
PLEASE WRITE CLEARLY!

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1. Item Name

Main Color

Secondary Color

Price

Monograming or Customizing on the above item (Please underline the last name)

Price

2. Item Name

Main Color

Secondary Color

Price

Monograming or Customizing on the above item (Please underline the last name)

Price

3. Item Name

Main Color

Secondary Color

Price

Monograming or Customizing on the above item (Please underline the last name)

Price

4. Item Name

Main Color

Secondary Color

Price

Monograming or Customizing on the above item (Please underline the last name)

Price

5. Item Name

Main Color

Secondary Color

Price

Monograming or Customizing on the above item (Please underline the last name)

Price

Totaling Your Order

Subtotal Of Items and Customizing:

Shipping & Handling (10% of total order):

FL Residents Please Add 7% Levy County Sales Tax: Non Florida Residents please tax shipping & handling only:

Total:

Credit Card Information:

Card Number & Type:

Expiration Date:

Signature:

How we can reach you

Name:

Day Phone:

Home Phone:

Address:

City,State & Zip:

If the 'Ship To' address is different, please fill in below:

Ship To:

Address:

City,State & Zip:

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