Susan Wechsler Designs Order Form

All orders are taken by telephone. For ease, you may firstl fill out this order form; Visa and Master Card are accepted. All prices are subject to change; the customer will be notified of any price changes before any transactions are processed. Delivery time, as well as shipping/handling charges and tax will be quoted at the time of the order. Because each item is made as ordered, returns require prior written approval and a return form.

Order by Phone: (973) 864-2877

Product Identification Number	Description	Dimensions	Quantity	Unit Price	Total Price
Product Identification Number	Description	Dimensions	Quantity	Unit Price	Dollars	Cents













				Subtotal:

Ship To:

Name
Street Address
City
State	Zip
Telephone*
Fax*
E-mail*

*A telephone number, fax number, or e-mail address is mandatory so that we can contact you with shipping/handling cost and inform you of approximate delivery time. Prices are subject to change without notice.

Credit Card:

Master Card
Visa

Card Number

Expiration Date

Signature

The shipping/handling charge and tax, if applicable, will be quoted before the order is processed. To arrive at the grand total for any order, add the shipping/handling charge and tax to the subtotal.