Offline Order Form Please print

Offline Order Form
Please fill in this form, either online or after printing it out. You may fax, mail, or phone your order in.
Thank you for painting 'Distinctively'!

Name:
Address:

City:
State:
Zip Code:
Day Phone:

Items: please list book/pattern packet name and number	Quantity	Price







Sub Total:
Shipping and Handling add 20% to Sub Total { the Pattern Packet Club cost of $50/$55 includes shipping and handling for that item]:
Michigan residents must add 6% Sales Tax:

Total:


	Method of payment: Please circle one. Please make all checks or money orders out to Distinctive Brushstrokes. CheckMoney OrderVisaMasterCard

	Card Number:
	Expiration Date: /
	Card Holder's Signature:
	Please be sure to sign after you have printed out this form.



	Please print out this form and send it to us by: Telephone: Judy: 616-874-1656 or Lynne: 616-940-1899 Fax: 616-874-1713 Mail: Distinctive Brushstrokes Order 9796 Myers Lake RD NE Rockford, MI 49341 Thank you for your order!