Creative Innovations
Where you’re Ideas come to
life.
Custom Clocks Plus
e-mail
leclairja22@comcast.net
http://home.comcast.net/~leclairja22
401 Normandy
Dr.
Voice # (517) 374.6059
Lansing, Michigan Fax #
(517) 374.4736
48906-1657 Tax # G TR-2360993
Item Order Form
Order Date__________________ s/p_______Order
Number_________________
*********************************************************************
Billing address Shipping
address
Name__________________________ Name_________________________
Street
__________________________ Street_________________________
City ________________State_____Zip_______City__________State_____Zip_______
E-mail address___________________________Contact Phone
number ( ) -
(Please)
used only if there is a problem with your order.
Qty.
_______ of Clocks Frame color is in Black only. (X) Hands Color___ (X) Bulava
Special Instructions__________________
______________________________________________________________________
_______________________________________________________________________
Graphics
(1st Choice)_______________(2nd Choice ______Numbers
Color________
Name
Desired _________________ Lettering Style ______________
Item
Qty Each____ (# X Price) = $_____._____Clocks……..$ 28.00 each
Michigan residents add 6% tax = $_____._____ Mugs…….…$ 7.00 each
Shipping
& Handling =
$____7. 00__
Snow Globes $ 6.00 each
Total
Enclosed = $_____._____ Mouse Pads…$ 8.00
each
Special Order Item
Make
Checks Payable to Creative Innovations. (Upon Request) $____.___
Samples
are shown on web site. $30.00 Charge for
returned checks.
Cash,
Local checks or Money Orders only accepted.
Please Allow 1 week for delivery.
90
Days Guarantee from date of purchase date with
original statement.
(Note:
Purchase date is date shipped) Photos
will be returned with shipment.
__________________Your signature authorizing the work and
the use of the photo.
Rev 2/ 28/ 04 JL/jl