Order Form

PRINT THIS ORDER FORM
Then mail it or fax it to us with your payment
Return Policy Other Ways To Order Shipping Charges

Mail to:
Attn: Order Dept.
Berlin Wallpaper
PO Box 344
West Berlin, NJ 08091-0344

Phone: 800-851-9951 Everyday!
Fax To: 856-809-1854 24/7
E-Mail: BerlinWallpaper@AOL.com

Name:__________________________________

Home:

Address:________________________________

Work:

City:___________________________________

Fax:

State_____________Zip+4:_________________

E-Mail

Qty	Item Number	Description	Price	Amount

Method of payment:

Check or Money Order (US Dollars only)
(Checks will delay your order 3 banking days to allow time to clear)

Only These Credit Cards Accepted - Circle One:

MasterCard Visa Discover

You must include "V code" with Credit Card information

Sub-Total
S & H*
Sub-Total
NJ Residents only ADD 7%Sales Tax
Total Amount

*Click here to get Shipping Cost
Return Policy

Card Number:

                                                                              **Require for Security**
Expiration Date:                                                        3digit V-Code:
                                                                                Where is My V-Code?

Print Your name:

Your Signature: