MAIL-IN ORDER FORM

Please fill-in the boxes online and then print the form by clicking your browser's print button.

Use a pen to complete the ORDER TOTALS at the bottom.

Mail this form with your check or money order in U.S. funds to:

The Art Spot / Signature Clocks
48 Hop Brook Road
Brookfield, Ct. 06804

Please make check payable to "The Art Spot"

YOUR NAME:
PHONE:
E-MAIL ADDRESS:

SHIP- TO NAME:
SHIP- TO PHONE:
SHIP-TO ADDRESS:
CITY / TOWN:

STATE: ZIP:

IF YOU WOULD LIKE US TO ENCLOSE A GIFT CARD, PLEASE SPECIFY TEXT BELOW (limit to 5 lines please)

Please enter the quantity of each clock you would like to order in the boxes below:

BABY RABBITS (BUNNY) CLOCK @ $69.95 each

BALLERINA CLOCK @ $69.95 each

CALICO CAT ANIMAL CLOCK @ $74.95 each

CAT AND MOUSE CLOCK @ $69.95 each

CHICKEN CLOCK @ $69.95 each

COUCHON (PIG) ANIMAL CLOCK @ $74.95 each

COW OVER THE MOON CLOCK @ $69.95 each

DALMATION DOG ANIMAL CLOCK @ $74.95 each

FLOWERS AND BUTTERFLY CLOCK @ $69.95 each

GREY TABBY CAT ANIMAL CLOCK @ $74.95 each

HONEY BEES CLOCK @ $69.95 each

HUMPTY DUMPTY CLOCK @ $69.95 each

RACE CAR CLOCK @ $69.95 each

SPORTS CLOCK @ $69.95 each

TROUT FISHING CLOCK @ $69.95 each

---- ORDER TOTALS ----

NUMBER OF CLOCKS ORDERED:

TOTAL AMT. for ITEMS ORDERED:

ADD 6% TAX if shipping address is in Connecticut:

ADD SHIPPING CHARGES:

1 Clock (individual purchase)...$ 7.95
2-3 Clocks…$9.45
4-6 Clocks…$11.45

TOTAL ENCLOSED: