Tanaka-Fineart Prints ORDER FORM

ORDER FORM

Mail Form To: Tennessee Players, Inc. • 304 West Due West Avenue • Madison, TN 37115 • Phone (615) 868-3738

Send Prints To:

Name_________________________________________________________________________________________

Title_________________________________ Company________________________________________________

Address_______________________________________________________________________________________

City____________________________________________________ State__________ Zip____________________

Country__________________________________________ Postal Code_________________________________

Phone________________________ Email______________________________

FAX_________________________

Item Name/Number

Quantity

Price Each

Shipping

Total

_____________________________________

_____________

$____________

$_________

Costs are in U.S. dollars.

TOTAL DUE

Payment by: American Express, Visa, Mastercard, Check or Money Order

Credit Card #__________________________________________________Exp. Date:____________________

Signature____________________________________________________________________________________

For orders outside the United States please give us your location and we will advise your shipping cost.