INSTRUCTIONS
 Check, money order, or credit card customers may order by simply printing this form &  filling in the blanks.  You may mail it to us with your payment, or fax it using your credit card number, type (visa, discover, etc.) and expiration date.  You may also e-mail  your order, however we will be unable to fill it until your payment is received.  Please contact us if you have any questions!  Currency Conversion

 

Latham Studios 
11203 Saint Croix Trail S. • Hastings • MN • 55033 • USA • 651-438-9944
http://www.lathamstudios.com • info@lathamstudios.com • 
O r d e r F o r m 

Date Ordered  

BILL/SHIP TO:
Mailing Address:
City State or Province
ZIP or Postal Code                 
Telephone
E-Mail

ITEM 

 DESCRIPTION                              QTY UNIT COST TOTAL AMOUNT

 

        

 

        

 

        

 

        

SUBTOTAL:                       

(If Resident) 6.5% MN Sales Tax:                      

10% of order total (US/Canada) or
15% of order total (All others)                                                Shipping Charge:

TOTAL DUE:                      

PAYMENT BY (circle one)

 Check amount enclosed Money Order
VISA MASTER CARD  DISCOVER      AMERICAN EXPRESS
Card number and expiration date: 

 All orders will be shipped & insured via. UPS, USPS, or FedEX at our choice

Tax Exemption Number (If Applicable):

Please contact us for information on rush orders.

SPECIAL INSTRUCTIONS: