ORION WORKS PURCHASE ORDER for Color Flex Prints, Greeting Cards and Post Cards (Print this form. Mail or FAX your order) MAILING ADDRESS: Orion Works PHONE (voice): (608) 231-2040 702 Euguenia Avenue FAX: (608) 231-2524 Madison WI 53705-3407 ======================================================================= | Specify: | | | | | | |Color Flex| ID | TITLE / DESCRIPTION | UNIT | QTY | TOTAL | | Gr. Card | # | | | | | |Post Card | | | | | | |=====================================================================| |__________|____|________________________________|______|_____|_______| |__________|____|________________________________|______|_____|_______| |__________|____|________________________________|______|_____|_______| |__________|____|________________________________|______|_____|_______| |__________|____|________________________________|______|_____|_______| |__________|____|________________________________|______|_____|_______| |__________|____|________________________________|______|_____|_______| |__________|____|________________________________|______|_____|_______| |__________|____|________________________________|______|_____|_______| |__________|____|________________________________|______|_____|_______| |=====================================================================| |_____________________________________________________ TOTAL: |_______| |__________________________Canadian Orders add 25% surcharge: |_______| |__________________________________________________ SUBTOTAL: |_______| | SHIPPING AND HANDLEING: Add $3.00 for orders $40.00 or less | | |$4.00 for orders $90.00 or less. $5.00 for orders over $90.00| | |_____________________________________________________________|_______| | | | | GRAND TOTAL: | | |_____________________________________________________________|_______| |=====================================================================| | Method of Payment | | | | ( ) Check Enclosed, | | Make checks payable in USA Dollars to: Orion Works | | | | ( ) Credit Card ( ) VISA ( ) Master Card | | | | Credit Card No _____________________________ Expiation Date: ___/___| | | | Signature: _________________________________ | | | |---------------------------------------------------------------------| | SHIPPING ADDRESS: | | | | Name: __________________________________________________________ | | | | Address: __________________________________________________________ | | | | City: __________________________________ ST: _______ ZIP: ______ | | | | Phone: _____________________________________________________ | | | | FAX: _____________________________________________________ | | | | Email: __________________________________________________________ | | | -----------------------------------------------------------------------