Jeffrey May - Week 4 - Replication of an order form

The following form is a relica of the order form found within the pages of Ski Racing magazine. A PDF of the original order form can be found by clicking this link



Order Form example
ORDER FORM

371 Route 3 sales@holmenkol.us
PO Box 37 603.728.9185
Lincoln, NH 03251 603.745.2108 Fax

Payment Information
Name:
Credit Card#: Visa/MC/Discover
Expiration Date:
Security Code:
Bill to:
 
 
 
 
Email:
Ship to:
 
 
 
 
Phone:
ITEM NUM QTY ITEM DESC PRICE TOTAL PRICE
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
ORDER TOTAL    
  Actual shipping costs will be added to your order. Orders over $2000 qualify for an additional discount, call for more information.