| LAWSON CLARK DESIGNS Order Form |
Would you like us to contact you when your order has been shipped? Yes or No (circle one)
It will be via email unless you do not submit an email address.
Name:_____________________________________________________________________________
Address:____________________________________________________________________________
___________________________________________________________________________________
Phone:______________________________________________________________________________
Email:______________________________________________________________________________
Product(s) Ordering:___________________________________________________________________
___________________________________________________________________________________
Size:_______________________________________________________________________________
Quantity:____________________________________________________________________________
Price:_______________________________________________________________________________
Payment Information: Visa / MasterCard / Personal Check (circle one)
Check's take longer to process
Credit Card:
Card Number:_________________________________________Expiration Date:____ /_____ /_____
It will be via email unless you do not submit an email address.
Name:_____________________________________________________________________________
Address:____________________________________________________________________________
___________________________________________________________________________________
Phone:______________________________________________________________________________
Email:______________________________________________________________________________
Product(s) Ordering:___________________________________________________________________
___________________________________________________________________________________
Size:_______________________________________________________________________________
Quantity:____________________________________________________________________________
Price:_______________________________________________________________________________
Payment Information: Visa / MasterCard / Personal Check (circle one)
Check's take longer to process
Credit Card:
Card Number:_________________________________________Expiration Date:____ /_____ /_____
| Mail To: Lawson Clark Designs Attn: Orders 213 South Hoopes Avenue Auburn, NY 13021 |