Sky Fantasy Fireworks Inc.
P.O.Box 188
Madison VA 22727
Phone 540-948-3353 Fax 540-948-7077
(_) Money Order... (_) Cash (If you send cash in the mail, please insure
your letter]
{_} Personal or Business check
SOLD TO:
DATE: _________________________NAME:____________________________________
ADDRESS: ______________________________________________________________________
CITY: _________________________ STATE: _____ ZIP/POSTAL CODE: ___________
PHONE: ________________________ FAX: ________________________
NAME: _________________________ADDRESS:__________________________________
______________________________________________
CITY: _________________________ STATE: _____ ZIP/POSTAL CODE: ___________
PHONE: ________________________SPECIAL INSTRUCTIONS:_____________________
Complete my order as follows:
| ITEM NO. | QTY. | ITEM DESCRIPTION | PRICE | AMOUNT |
| BOXING / PACKAGING CHARGE | $5.00 | |||
| Total this page | ......... | |||
| (Total from other pages) | ......... | |||
| Sub Total | ......... | |||
| VA Sales tax { if VA resident } | ......... | |||
|
{ call for quote or can be C.O.D.} Shipping Charge |
||||
| Total | ......... |
Fax # 540-948-3353
Please fill out and either fax , phone ,mail or e-mail your order. We will call you with shipping costs or if paying by check you will pay for shipping charges COD plus a COD fee.Please do not forget that you must fill out and send back the Hold Harmless Agreement and send a photo copy of a picture ID before any orders can be processed Thank you