Print this order form and mail to:

Acheson Creations
1002 Stone Road
Rochester, NY 14616-4308

Note: Checks and Money orders should be
made out to Acheson Creations

Name
Street Address/PO Box
City
State
Zip Code

Catalog codeItem namePrice eachQuantityTotal

Sub Total
(Minimum $20.00 Order)

Shipping & Handling:
Put in percentage
from shipping chart below

NY Residents
add 8% tax

Total
Credit Card (Check one:)

____Visa _____MasterCard _____American Express

Name on Card________________________________

Number_____________________________________

Expiration___________________________________

Shipping Rates:
Select one of the shipping methods:
USA: 15% of total order ($5.75 min.)
Alaska, Hawaii, & Canada:
25% of order ($8.75 min.)
Overseas -World Surface:
35% of order
Overseas -World Airmail:
50% of order
Overseas -Australia & New Zealand:
60% of order

Thank You for Your Order!