Postal Mail Order

Your Full Name:
Street Address 1:
Street Address 2:
City:
State:		Zip Code:
Telephone No.:
JDM001 Headstone Rubbing - within USA Orders Only Item Number: JDM001 Price: $385.00 Shipping, Handling & Insurance: $21.00 Quantity: _________________ JDM002 Headstone Rubbing - Canada/South America Orders Only Item Number: JDM002 Price: $385.00 Shipping, Handling & Insurance: $29.00 Quantity: _________________ JDM003 Headstone Rubbing - Europe/Asia/Africa Orders Only Item Number: JDM003 Price: $385.00 Shipping, Handling & Insurance: $33.00 Quantity: _________________ JDM004 Headstone Rubbing - Australia Orders Only Item Number: JDM004 Price: $385.00 Shipping, Handling & Insurance: $36.00 Quantity: _________________

Print this form and mail it with your check or money order to:

Susanna Griffie
PO Box 6893
Chandler, AZ 85246-6893

Please allow 2-4 weeks for delivery. Personal checks will need an additional 10 days for check to clear.