Art Direct Merchandise Order Form
1-800-351-9575
Fax 904-676-1039
Email: Info@Art-Direct.com
1474 West Granada Boulevard
Suite 440-141
Ormond Beach, Florida  32174

First Name:
Last Name:
Email Address:
Street Address:
City:
State:
Zip Code:
Telephone Number:

 

Item # Description Quantity Price Total

       SPECIAL INSTRUCTIONS:                                                                        

Shipping and Handling Charges will be advised via email.  Determined by Delivery Location.. 
:
Grand Total

Form of Payment:    Check        Credit Card   

Credit Card Number:        Expiration Date:

Cardholder Name:       

Billing Address:               Street:     Unit:   

Billing Address:                 City:       State:     ZIP:

Check Orders Please Print Order Form, Make Check Payable to Art Direct and mail to:

Art Direct Corporation
1474 West Granada Boulevard
Suite 440-141
Ormond Beach, Florida  32174

CREDIT CARD USERS CAN ORDER ONLINE
OR FAX COMPLETED ORDER FORM TO:
904-676-1039

Please Allow 3 Weeks for Delivery of All Items

   SUBMIT ORDER