ORDERED BY:

Name


Street

Suite or Apt#

CityState

Zip CodeCountry

Phone #E-Mail

 

Time Line Studio
P.O. Box 90
Southampton, MA. 01073

Phone / Fax : 1(413)527-4059

 

*PLEASE E-MAIL OR CALL US TO VERIFY PRICE, SHIPPING COST AND PRODUCT AVAILABILITY*

 

ITEM#

QTY.

Description

Price Per Item

Total

     
   
       
       
         
         
Method of Payment    
Check or Money Order Visa Master Card Amex Discover
(Company and Personal Checks Accepted, please allow ample clearing time)

*Shipping& Handling

 
CHARGE ACCT# EXP. /    
   

  Mass. Residents must add 5% sales tax

   

 

SIGNATURE_________________________________

   

Print out and mail, e-mail, or for faster service please call us at: 1(413)527-4059.

HOME / BACK / COLLECTOR'S SHOP / E-MAIL