Order Form

BartArt Order Form

All information entered on this secure form will be kept confidential.

Your Name:
(required)

Email address:
(required)

Comments:

(quantities, special instructions)

Shipping Options:

(Shipping amount will vary based on currier)

Use the address information from a previous order?

Yes -
No (If not, please continue below.)

Shipping address Line 1:
(or company name)

Shipping address Line 2:
(optional)

City:

State/Province/Region:

ZIP/Postal Code:

Country:

Phone Number:
(we will use email first)

Fax Number:
(we will use email first)

Is this address also your billing address?

Yes -
No (If not, please continue below.)

Billing address Line 1:
(or company name)

Billing address Line 2:
(optional)

City:

State/Province/Region:

ZIP/Postal Code:

Comments or additional shipping instructions:
(optional)

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