ORDER FORM
K.DOPITA STUDIO
PO Box 62665
Colorado Springs, CO 80962
Phone orders or inquiries: (719) 495-4535 9am-5pm Mountain time zone Mon-Fri
Toll free: 1-877-833-3829 via email: kdopita@msn.com
Please allow 6-8 weeks minimum for delivery. For special deadlines call for special arrangements.
Prices and availability subject to change.
Orders are shipped FedEx ground in most cases. We also use UPS and US Mail.
Let us know if you have other needs.
SHIPPING AND HANDLING INDEX
For item that can be shipped in padded envelope add $2.50
For amount up to $25 of merchandise ordered, add $7.50
For amounts from $26-50 add $10.00
For amounts from $51-175 add $13.00
For amounts from $176-275 add $17.00
For amounts from $276-800 add $25.00
PRINT NAME______________________________
SHIPPING ADDRESS_______________________________________________________
Daytime Phone__________________Evening Phone_________________________
For purchase by credit card (Master Card, Visa, Discover or American Express)
CARD NUMBER______________________________
Expiration Date_______________
(For Discover card orders, please note the 3 digit customer ID number from the back panel of your card)_________
Name as it appears on Card_____________________Signature_______________________
ITEM DESCRIPTION (gold or regular finish, name of Design) QUANTITY STYLE (top: smooth/ hammered/ glass ) PRICE
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Price of all items ordered $__________
(Collector's Discount: If you are ordering more than one vessel
that is a 9 -32 oz size you get $5 off each vessel!) $<________>
TX, CO, MI, MN, AZ, MD, KS residents add your state sales
tax $__________
Shipping and Handling Charges from Index $__________
(Any COD orders must be paid by certified funds only, add $7.50) $__________
ORDER TOTAL $__________
Thank you for your order.
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