Index

Please Print Order Form

Mail, Phone or email your order to:
RT-DESIGNS USA
P.O.Box 2061
Salisbury, NC 28145-2061
Phone (704) 279-9301
Email:  RTDesignsUSA@gmail.com
Web:  www.RobertToth.com or www.roberttothsculptor.com

Shipping & Handling
Up to $100 add $20 .00
$101.-$150. add $23.00
$151.-$200. add $25.00
$201.-$250. add $28.00
$251.-$300. add $30.00
$301.-$350. add $33.00
$351.-$400. add $35.00
$401.-$450. add $38.00
DESCRIPTION
ENGRAVED NAME PLATE AVAILABLE QTY $ EACH $ TOTAL



$ $




















Total
Shipping and Handling
North Carolina Residents Add Sales Tax
Total Enclosed
Please Print Shipping Address - Please print NAME as it appears on CREDIT CARD.


NAME__________________________________________PHONE_________________________

ADDRESS__________________________________Email________________________________

CITY_____________________________________ST_______ZIP______________
....................................................................................................................................
Make checks payable to RT DESIGNS USA

CREDIT CARD, Check one............ Example: MC |X|
VISA|__|

MC  |__|

Exp. Date____________________________

CARD #_____________________________________________________| 3 Digit Code (Back of Card) _________


Signature__________________________________________________Date______________
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