CUSTOMER INFORMATION

  Please fill out this form and return to:
Name: ___________________________________________________  
 

Art By Christopher
PO Box 577
Rocky Point, NY 11778

    
Address: _________________________________________________
 
City: _____________________________________________________
 
State: ______ Zip: __________Phone:__
 
ENCLOSED: Check ___     Money Order ___  
ITEM # DESCRIPTION
(e.g. Print, CD, T Shirt)		 QUANTITY UNIT PRICE TOTAL PRICE
(Quantity x Unit Price)
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
  TOTAL MERCHANDISE  

SHIPPING CHARGES:
Will depend on shipping rates at the time of your purchase

Taxes may also vary.

Thank You and Enjoy your Christopher Art and Music

SHIPPING  
SUB TOTAL  
SALES TAX
8.625% NY RESIDENTS ONLY		  
GRAND TOTAL