Please print and mail, fax, or e-mail this form with your order to:

Diskovery Graphic Arts 1830 Old Sumneytown Pike Harleysville, Pa. 19438 Fax: 1(215) 234-8450

E-mail: Diskovery Graphic Arts

Name__________________________________________________________	Phone # ___(______)_________________________
Address________________________________________________________ E-Mail address___________________________________________________	Apt/Suite_________
City_____________________________________	State________	Zip________________

Credit Card Type______________________________

Account No_____________________

CVV2# ______________ Expiration Date____________________

ITEM #	DESCRIPTION	COLOR SIZE WHERE APPLICABLE		QUANTITY	COST	S&H	TOTAL
							$	.
							$	.
							$	.
							$	.
PENNSYLVANIA RESIDENTS ADD 6% SALES TAX							$	.
GRAND TOTAL

THANK YOU FOR YOUR ORDER!