Fantasy Guilde Studios - PO Box 127, Crownsville, MD 21032-0127 - ldwood@erols.com

This form prints in two pages.

MUMMERY
Quantity Mask[s] Ordered (by name): color choices price@ item total
         
         
         
         
         
Subtotal:  
MD residents ONLY add 6% Sales Tax:  
Mask Total:  

If you need to include more information, please do so on a separate page.

SHIPPING/HANDLING
  quantity     sub totals
Masks $201 & over:   EACH @$28.00  
Masks $101-$200   EACH @$15.00  
Masks under $100   FIRST @$10.00  
Masks under $100   each additional @$5.00  
Larger quantity orders should email for quote. Shipping Total:  
Insurance, special handling or other charges: Total:  
Bring down from previous table ... Mask Total:  
Pay this - Grand Total:  

For international shipping, Express Mail and Insured packages email for quote.

 

 

 

 

PAYING
[ ]Visa        [ ]Mastercard       [ ] Discover        [ ]Postal M.O.
Account #  
Exp. Date  
CVC#  
Name on Card  
Signature  

 

CREDIT CARD BILLING ADDRESS
NOTE: Address must match verification process to be valid.
Name  
Street  
City, State, Zip  
Phone  
Email  

 

MAILING ADDRESS
[ ] Check here if same as above.
Name  
Street  
City, State, Zip  
Phone  
Email