NEW ORLEANS MISTIC.COM ORDER FORM
Item # Quantity Description Size Price
Each		 Total
           
           
           
           
           
           
           
           
           
           
           
           
Method of Payment:  __ Check __ Money Order
    __ VISA __ MasterCard
    __ Discover __ American Express

Card Number  Exp. Date ____ / ____


__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Signature: _________________________________________________

Subtotal  
Shipping  
Total  
Shipping is UPS
Ship to
Name:       
(must be same as credit card billing address)
Address:
      
City:
      
State:
      
Zip:
      
Phone:
      

To get shipping rates, add all the items you need to the online shopping cart. Proceed to the checkout and allow the UPS website to calculate the weight and shipping cost of your order. Record the amount in the shipping box above and close the window without entering any personal or credit card information.

Print this form and mail to:

New Orleans Mistic
PO BOX 740516
New Orleans, LA 70174