SPK DESIGN
6560 Fannin, Ste 1234
Houston, Tx 77030
(713)771-0675
e-mail: SPKDesign@worldnet.att.net
  1. Print this form, complete it, and mail it to the above address with your payment.

Ordered by:
Name:___________________________
Address:_________________________
City:________________________State:___Zip:_________
Phone:(___)-_______________ e-mail address:_______________________

QuantityItem #DescriptionPrice Total
Sub-Total
Tax: (Texas residents only add 8.25%)
Add the shipping costs of each item and total them

here:
Total
Shipping
Total

Payment Information: All payments must be in U.S. dollars by American Express International Money Order, or bank check drawn on a U.S. Bank.

Shipping Information: (This section must be filled out)

Ship to:
Name:___________________________
Address:_________________________
City:____________________State:____Zip:_________


Purchase Authorization and Agreement:

I am authorizing this purchase of goods to be delivered by SPK Design to the address specified above.

Signed:_____________________________

Please make sure that your e-mail address is on the order form. We cannot process your order without it, We will e-mail you a confirmation letter, confirming the purchase and total purchase price.

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