AFRICAN AMERICAN ART ON-LINE STORE
MAIL ORDER FORM




Item Name Or Item#       How Many	  Item Total Cost

1.

2.

3.

4.

5.

6.

7.

8.


Total Number of Items Ordered:_____     


Items Sub-Total:$__________


Georgia Residents please add 7% sales tax.


[]8 - 12 Business Day Delivery United States: $9.95
[]5 - 8 Business Day Delivery United States: $11.95



Total purchase price:$___________


Please mail your order form along with a money order 

or cashier check made payable to "Brown Horizons" for 
the total purchase price. Our mailing address is 
provided below.


    Brown Horizons
    P.O. Box 15264
    Augusta, Ga. 30919
_____________________________________________________

			
Shipping Address Information:


Please print and complete all requested information.


Name:_________________________________________________ 




Address:______________________________________________ 




City:_____________________ State:________ Zip Code:________


Home Telephone Number:__________________ 


Work Telephone Number:__________________


Email address:____________________________


Thank you. We appreciate your business.