TouchStone Fax Order Form
Fax to 1-203-622-0094
Print this form and fax it to us, or cut and paste it into your word processor and fax-modem it to us at the above number.
Name: _________________________________________________
Shipping Address: _________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
Credit Card Number: _________ _________ _________ _________
Expiration Date: ________________ Circle One: VISA MASTERCARD
Name on Card: _________________________________________________
Phone Number: _________________________________________________
E-Mail Address: _________________________________________________
The Product you'd like: Unit Price Quantity Total Amount
US $
Catalogue 15.00 _________ __________
Graciela Rodo Boulanger
ODA A LA ALEGRIA 24.00 _________ __________
TOUR DE FRANCE 20.00 _________ __________
HOLIDAY ON WHEELS 20.00 _________ __________
PRELUDE 20.00 _________ __________
Les Lambson
SUDDENLY OCTOBER 20.00 _________ __________
RACING HOME 18.00 _________ __________
David Lee
EVENING FLIGHT 20.00 _________ __________
LAVENDER LIGHT 20.00 _________ __________
Kaiko Moti
CHRYSANTHEMUS 18.00 _________ __________
CHAMPS DE LAVANDE 20.00 _________ __________
LA CHOUETTE 18.00 _________ __________
Kevin Red Star
SHAWL DANCER 20.00 _________ __________
KNOTCH 20.00 _________ __________
Total Order Amount: US $ ____________________
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