Oriental Rugs of the Silk Route

Please print and complete the entire form.
Fax to (617) 527-7847 or mail to 2284 Washington St., Newton Lower Falls, MA 02462

BILL TO
First Name: Last Name:
Address:
City/ST: ZIP/Country:
E-mail address: Telephone:
 
SHIP TO
Check here to ship to the above address [   ]
First Name: Last Name:
Address:
City/ST: ZIP/Country:
E-mail address: Telephone:
 
ORDER
ITEM QUANTITY SUB-TOTAL
Oriental Rugs of the Silk Route
Autographed		 $50.00 x [   ]  
Oriental Rugs of the Silk Route
Personalized		 $50.00 x [   ]  
Shipping
- Standard Shipping for U.S. and Canada is 3 to 8 Business Days.
- We can not ship to P.O. Boxes.
- International shipping is 2 to 12 Weeks.
- E-mail us to confirm shipping rates.

$1 - 24 $4
$26 - 60 $7
$61 - 100

$10
$101 - over add 10%

 
Sales Tax MA residents only - 5%  
 
TOTAL:
  
 
PAYMENT
Visa [   ]   MasterCard [   ]   Check [   ]
Credit Card #: Expiration Date:
Please make checks payable to: A.T. Gregorian, Inc.
 
MESSAGE
All messages are handwritten by John B. Gregorian.

#1 Salutation (e.g. To my friend Bob):

 

Brief message (10 words or less):

 

#2 Salutation:

 

Brief message (10 words or less):