Postal Mail Order Form
 Please Print Out Form, then Fill it Out and Mail It Back along with Check or
 Money Order to Artisan Light Works  2532 Santiam Hwy SE #324 Albany, OR 97322
 Please add $4.95 for shipping & handling.

 Desired Product Name____________________________
 
 Product Number__________________________________
 
 Wood Type______________________________________
 
 Glass Color______________________________________
  
 Your Name______________________________________
  
 Address_________________________________________
  
 City_____________________________________________

 State____________________________________________
 
 Zip______________________________________________                                      
    
 Phone with Area Code______________________________
 
 E-Mail Address____________________________________