Copper Art Sprinkler Order Form

Name Dim. Size Quantity Cost Total Global with Patina Height 45" Regular   $179   Height 35" Petite   $169   Global with Stars Height 45" Regular   $179   Height 35" Petite   $169   Iris Height 45" Regular   $179   Height 35" Petite   $169   Illusion Height 45" Regular   $139   Height 35" Petite   $129   Olympian Height 45" Regular   $139   Wavelength Height 45" Regular   $139   Sub-total   WI residents add 5.5% sales tax   Call 920-868-3987 for current Shipping & Handling rate   TOTAL

Name: ____________________________ Address: __________________________ __________________________________ __________________________________ Phone: ___________________________ E-mail: ___________________________ Shipping Address: __________________ __________________________________ __________________________________  0 MasterCard 0 VISA 0 Discover Card # ___________________________ Exp. Date ______________ Name on Card _____________________ Signature _________________________ Shipping and handling available.

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