Carol & Ida's Imports


1255 North Goodman Street

Rochester, New York, 14609
Tel: 001+ (585) 482-6537 -(585) 329-7304

Fax: +01 (603) 963-5917


Order Details:

Product name Motif/  
Colour
State 
US/
/EUR 
Size
Code Qty Price 
US $
Total 
US $
             
             
             
             
             
             
             
             
             
TOTAL           $__________

Delivery & Payment Details:
To Pay by Money Order or Bank Draught - Post your order to the above address.
To Pay by Bank Transfer - Contact us for details
.

Freight Agents: Order Total: $
Delivery Method: Airmail/Freight .
Name: .
Address 
Delivery:
Address 
Postal:
. City:
City: State:
State: Zip/Post:
Zip/Post: Country:
Country: .
Tel No: Fax No:
. .
Credit Card: Visa/ Mastercard Number:
Expiry Date: .
I have read and accept the conditions of sale.
Signature:
 ______________________________________
Date: