Inner Visions Order Form Click here to print this Order Form Inner Visions, 69 Mountain Ash Drive, Kingston, MA 02364 Phone: 781.422.3081– Fax: (call first) 781.422.3081– email: lwrichardson@comcast.net Go to Pricing and Ordering Information Page Download a printable order form as a PDF file to mail or fax. Customer Information Order Date: Customer’s Name: Street Address: Town: State: Zip Code: Telephone Number: Email Address: Ship to: (if different) Customer’s Name: Street Address: Town: State: Zip Code: Telephone Number: Email Address: TO ORDER: Matted prints: Print and complete Sections A and E (See the Pricing and Ordering page for shipping information) Note cards: Print and complete Sections B, the relevant Section F and E (See the Pricing and Ordering page for shipping information) Custom sets of Note cards or individual cards : Print and complete Sections B, the relevant Section F and E (See the Pricing and Ordering page for shipping information) Quotation products: Print and complete Sections B and E (See the Pricing and Ordering page for shipping information) Custom quotation: (use a favorite quotation of your own, select one of the quotations used with an image, but use it with a different image): Print and complete Sections B, C and E (See the Pricing and Ordering page for shipping information) Screensavers: Print and complete Sections B, E and G Custom Screensavers: Print and complete Sections B, E and G Gift certificates: Print and complete Sections C and B. Wall Calendar: Print and complete Section B, E and H Section A — Order Form for Photographs (See prices : Pricing and Ordering) Quantity Item No. Size Price Each Item Total Sub Total MA Shipping Address 6 % Sales Tax Shipping Fee (See the charts on the Pricing and Ordering page) Total For Items Total Enclosed Section B — Order Form for Quotations, Note Cards, Screensavers and Wall Calendars This section should be used to order the items as they appear on the various Special Products pages. If you wish to cusomize the Quotations, Note Card selections or images in the Screensavers, please see the appropriate section (See the “TO ORDER” list above) for that purpose. Quantity Item No. Custom Service Fee Price Each Item Total Shipping Sub Total VT Shipping Address 6 % Sales Tax Shipping Fee Total For Items Total Enclosed Section C — Custom Quotation Request If you would like to provide your own quotation to use with one of my products (Framed Quotation, Matted Quotation or Flower Quotation), please provide the information requested below. Please note that there is limited space for the quotation. Check the quotations that are being used for the quotation product to get an idea of how long they can be. If your quotation is too long, I will notify you to see if you have an alternative choice. Your Quotation PLEASE PRINT Author To use with which Item? Your Quotation PLEASE PRINT Author To use with which Item? Your Quotation PLEASE PRINT Author To use with which Item? For each custom item please add the $5.00 Service Fee to the Order Form (Section B) above. If you would like to interchange quotations and/or images, please provide the information requested below. Which IMAGE would you like to use? (Provide the Item Number please.) Which QUOTATION would you like to use? (Provide the Item Number please.) For each custom item please add the $5.00 Service Fee to the Order Form (Section B) above. Section D — Gift Certificate If you would like to purchase something from my web site as a gift for someone, but you’re not sure what the person’s preferences are, perhaps would like to consider a gift certificate. If you would like me to send a gift certificate to someone, please write the name of the recipient below. Put gift certificate on one line of the order blank. There is no tax or shipping charges on a gift certificate. Gift Certificate to: Amount: Street Address1: Street Address2: Town: State: Zip Code: Email: Section E –Payment Method Check or Money Order (Make payable to: Inner Visions) Mail to: Inner Visions, Larry W. Richardson, 80 Allison Lane, Vernon, VT 05354 PLEASE NOTE: Purchase will not be shipped until check clears the bank. Credit Card MasterCard Visa Discover PayPal Credit Card Number Expiration Date Inner Visions Use Only Order Date: Order Number: Date Shipped: Since I am in the initial phase of activating this web site, I am looking for ways to make the ordering of my prints and other special products as simple and effortless as possible. If you have suggestions to improve this order form or the ordering process, I would welcome your comments. Thank you. Your comments, please: ______________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Section F — Note Card Collection (Sets of 6 Note Cards) Form Please use boxes below to list the Item Numbers (these appear with the images) of the images you would like to include in your personalized collection of Note Cards. If you need additional space, please print multiple copies of this page. Item Number NC-2010-006C-1 Item Numbers For a Custom Set of Six Note Cards Item Number NC-2010-006C-2 Item Numbers For a Custom Set of Six Note Cards Item Number NC-2010-006C-3 Item Numbers For a Custom Set of Six Note Cards List of Individual Note Item Number NC-2010-000IND Item Numbers For Individual Note Cards Section G — Custom Screensaver Request Please use this part of the Order Form to record the image Item Numbers you would like to include in your custom Screensaver. Up to 17 images can be listed for each screensaver. Item Number SS-2010-005C Item Numbers For a Custom Screensaver Item Number SS-2010-006C Item Numbers For a Custom Screensaver Section H– 2012 Wall Calendar (Use Section B to order calendars) Style Quantity Unit Price Total Regular Calendar Item No. IV – WC – 2012R $17.95 Enhanced Calendar Item No. IV – WC – 2012E $19.95 Go to Pricing and Ordering Information Page Download a printable order form as a PDF file to mail or fax. Download Adobe Acrobat Reader
