Island Arts Mail Order Form - from Chincoteague Shopping
Instructions:
  1. Print out this form
  2. Fill in the information
  3. Determine the total cost of the items
  4. Virginia residents add  4.5 % sales tax
  5. Add shipping & calculate total
 Mail to:

Nancy Richards West, Island Arts 
6196 Maddox Boulevard
P.O. Box 727
Chincoteague, VA 23336

Checks, Money Orders,
Visa, Master Card Accepted
Item Quantity Price Subtotal
"Beach Runners" - Unframed   40.00  
"Beach Runners" - Framed   160.00  
Virginia Sales Tax - Virginia Residents Only (5 percent of subtotal)  
Shipping: 6.00 unframed - 35.00 framed  
Total  
Credit Card Information
____ Visa
____ Master Card
Name as it appears on the card ____________________________

Credit Card Number ____________________________________

Expiration Date (Month/Year) ________________

Signature _________________________________

Billing & Mailing Address

Name

Apt. Number

Street Address

City

State & Zip

Telephone

Email