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'!

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Order Form

Name:
 Address:
 
City:
State:
Zip Code:
Day Phone:
E-Mail Address
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: /
  CVC code:   [3 digit code on back of card]
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: 616-874-1656 [fax will pick up after greeting]

Mail:  Distinctive Brushstrokes Order
9796 Myers Lake RD NE
Rockford, MI 49341

            

Thank you for your order!