Order By Mail:
Fill Out This Form and fax to Giamer A&C; PO Box 276, Skippack, PA 19474, We will contact you with instructions on how to complete the transaction
Item Number: _____________________________________________________________________________________
Item Description: __________________________________________________________________________________
Price: ___________________________________________________________________________________________
Shipping Cost if Known: _____________________________________________________________________________
Total: ____________________________________________________________________________________________
Your name: _______________________________________________________________________________________
Address: _________________________________________________________________________________________
City, State and Postal Code: _______________________________________ Country: ___________________________
Phone Number: ________________________________ Fax Number: ________________________________________
Email Address: _____________________________________________________________________________________
Notes and Instructions: _______________________________________________________________________________
__________________________________________________________________________________________________
______________________________________________________________________________________________________________________________
Giamer Antiques and Collectibles