Calligraphy Poem Order Form

Poem matted and framed                                                                     $35.00

Name: _____________________________________________________________________________

Address: _____________________________________________________________________

Phone: (day) ______________________ (eve) __________________________

Please end order form with total amount due payable to:

THE PEG BOARD

1636 Ruffed Grouse Trail, Alger, MI 48610

Amount of Poem                  ___________

Shipping & Handling                  $8.00    

     MI Residents add

         6% Sales Tax            ___________

    

            Total Amount Due

                (enclosed)          ___________

PLEASE PRINT LEGIBLY THE INFORMATION AS YOU WISH IT TO APPEAR