Prices are subject to change without notice

Ann Cline Studio Inc.
1318 E. Workman Ave.
West Covina, CA 91790
Ph. 626-339-0555
or Fax 626-339-6676
Email: aclinestudio@anncline.com
*UPS now charges a $5 fee when address is not complete. Be sure to include Apt. #, Unit #, PO Box, Rt.#, etc.
NAME_____________________________________________ ORDER DATE: _________________
STREET___________________________________________ P.O. BOX ____________ (IMPORTANT! SEE ABOVE)
CITY, STATE, ZIP CODE _________________________________________ZIP____________
PHONE (_______) __________________ FAX _________________________ EMAIL______________________
CREDIT CARD#_____________________________________________ Visa    Discover    Mastercard
CREDIT CARD EXPIRATION DATE (Month &Year) ____________    Note: MINIMUM ORDER $20
QUAN. ITEM
NUMBER 		DESCRIPTION OF ITEM PRICE EACH TOTAL
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         

CHECK ENCLOSED   AMOUNT $_________________

MONEY ORDER $____________

CREDIT CARD (as given above) 

SIGNED __________________________________
SUB TOTAL
  
CA res., add 8.25% tax
(sub total x .0825)
or current LA County tax
  
Estimated Shipping
(Click Here for UPS Rates Page)
  
TOTAL