3D CHESS ODER FORM

Print and complete this form and return it with your check or money order to:

3D Chess

312 Bell Avenue

Sheboygan WI 53083

 

Sold to:

Ship to (if different than Sold to):

Name: ________________________

Name: ____________________________

Address: ______________________

Address: __________________________

City: _________________________

City: _____________________________

State: _____

Zip: _____________

State: _____

Zip: __________________

Phone: _______________________

Phone: ____________________________


Quantity

Chessboard Description

Chess Piece Color

Price each

Extended Amount

(Quantity X Price)

 

14 x 14 Walnut/Maple

Wood Felted

$159.00

 

 

14 x 14 Padouk/Maple

Russian Style Black

$159.00

 

Sub total: ____________

Wisconsin Residents add 5% Sales Tax: ____________

Shipping/handling Included*: _______0.00_

Total Enclosed:

$

* Please contact 3D Chess for shipping costs for orders outside the continental USA.

Allow 2 to 5 weeks for delivery.

Thank you for your order!

 

Home Page * Wood & Color Selection * Order & Contact Information

 

3D Chess

Copyright 2012

All rights reserved.