McRill's Cameras Printable Order Form

Please print the form, fill it out, and fax it to us at 541-688-9072. You may also use it as a reference
when e-mailing or calling us. Please fill out the order form as completely as possible. Write in
the system, brand, item, model, description, and price.

Return to Ordering Information to read about shipping methods.

Daytime Telephone: _______________(So we may call, if necessary, about your order)
E-Mail: _____________________________
Name: ____________________________________________________
Address: ___________________________________________________
___________________________________________________
City: ________________________ State: ____ ZIP/Postal Code: _________

SHIPPING ADDRESS (if different from billing address above)
Name: ____________________________________________________
Address: ___________________________________________________
___________________________________________________
City: ________________________ State: ____ ZIP/Postal Code: _________

SYSTEM	BRAND	ITEM	MODEL	DESCRIPTION	PRICE
________	_________	_________	_________	_____________________	________
________	_________	_________	_________	_____________________	________
________	_________	_________	_________	_____________________	________
________	_________	_________	_________	_____________________	________
________	_________	_________	_________	_____________________	________
				TOTAL	$_______
Circle Payment Method Check Money Order (US Funds Only) VISA MASTERCARD AMERICAN EXPRESS			Due to the large variation in weight of the many items we carry, shipping charges are based on actual cost plus a minimal handling fee.
Name:_______________________________________ Card Number:__________________________________ Expires: __________ Billing Address ZIP/Postal Code: ____________ Signature: ____________________________________