Washi Accents                                                                                                           Order Form
1224 Converse Dr, Atlanta, GA 30324                                                            TEL. 800-535-2263   404-233-1846    FAX: 404-233-8012

DATE OF ORDER:___________________________ ( For WA only - Date shipped:_____________ )
NAME:______________________________________________________________________________
BILLING ADDRESS:
__________________________________________

__________________________________________

__________________________________________

 SHIPPING ADDRESS:
___________________________________________

___________________________________________

___________________________________________


TELEPHONE:_____________________________                          E-MAIL ADDRESS:_____________________________

METHOD OF PAYMENT: (check one)        _____ My check is enclosed
Credit Card:    ___ VISA           ___ MASTERCARD          ___DISCOVER          ___ AMERICAN EXPRESS
Credit Card Number: __________________________________________________               Expiration Date: ____________

Signature: __________________________________________________________________________
   Qty.

Product #

Description

Unit Price

    Amount
        
         
         
        
        
        
        
        
        

                       Shipping & Handling Charges            

Subtotal

   $
If order's subtotal is Shipping charges are

GA Residents: Add 7% Tax

+  $
$0.00 - $24.99 $6.95
$25.00 - $49.99 $7.95

Shipping & Handling

+  $

$50.00 - $99.99

 $9.95

Total

    $

$100.00 and over

 $11.95

Ikebana vases, kenzans & other supplies

Actual priority mail or UPS cost

Most orders will be shipped within 3 days.  We use US (priority)  mail unless otherwise requested, or UPS is more cost effective due to the weight and size of the shipment.

Overseas (or destinations outside continental USA)

 Actual airmail cost