NATURAL FOCUS LE ORDER FORM

Full Name:
Business:
Address:
City: State/Province:
Zip/Postal Code: Country:
Email:
Phone: *Acct#:

Shipping Address:
City: State/Province:
Zip/Postal Code: Country:

Remember your art-focused friends...
Gift Certificates are available in denominations of
$50
$100
$250
$500
$1,000
Custom Amount
#GC-0050#GC-0100#GC-0250#GC-0500#GC-1000
#GC-amount

      item #       qty       each       total
$
$
$
$
$
$
$
$
$
$
*Retailers must apply for an
account number in order to
receive wholesale pricing.



email for international shipping
                  Subtotal
  Shipping (in USA)
              Total Due
                      IL tax
IL Resident Total

Payment Method (in US Dollars USD$ only)
Online
By Mail
Bank Transfer
Credit Card


Make Payment Now
Gift Certificate
Cashier's Check**
Company Check**
Money Order**

**made payable to
NATURAL FOCUS
please allow 5-7 business days for processing & shipping

submit order online or print and mail this order form with payment to
Natural Focus LE - 2521 N. Campbell Ave, Flr 2 - Chicago, IL 60647 - USA