ORDER FORM
Print and mail to:
J.L. Marquez
Buen Gobernador 20
Madrid, Spain 28027
Or Call (34) 91-404-8516
ITEM:____________________________QTY:____PRICE:______TOTAL:________
ITEM:____________________________QTY:____PRICE:______TOTAL:________
ITEM:____________________________QTY:____PRICE:______TOTAL:________
ITEM:____________________________QTY:____PRICE:______TOTAL:________
ITEM:____________________________QTY:____PRICE:______TOTAL:________
SUBTOTAL:__________________________
SHIPPING & HANDLING:_____________
Please email us for shipping rates.
TOTAL:_____________________________
Spain Residents add .00 Sales Tax:______
GRAND TOTAL:______________________
BILL TO:
NAME:______________________________________________
ADDRESS:___________________________________________
CITY/ST/ZIP:__________________________________________
FOREIGN ADDRESS1:__________________________________________
FOREIGN ADDRESS2:__________________________________________
DAYTIME PHONE:__________________________________
CREDIT CARD (VISA/MC ONLY) #:_________________________
EXPIRATION DATE:______________
SIGNATURE:__________________________________________
CHECK AMOUNT:__________________
SEND TO:(leave blank if same)
NAME:______________________________________________
ADDRESS:___________________________________________
CITY/ST/ZIP:_________________________________________
FOREIGN ADDRESS1:__________________________________________
FOREIGN ADDRESS2:__________________________________________
J.L. Marquez
Buen Gobernador 20
Madrid, Spain 28027
(34) 91-404-8516
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