Name (as shown on credit card, if applicable)
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(Country code if NOT in the U.S.A.)
Phone numbers with area code
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I have enclosed my payment in U.S. funds for the total amount due
Mail your Check or Money Order to:
Jazz Arts & Ceramics
421 Hopkins Street 1st Floor
Betts Longworth Historical District
Cincinnati, Ohio 45203
Please charge my
account as shown below
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I acknowledge and agree to the charge as shown above:
I do not authorize the above charge and order:
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(Order form will not be processed)
Signature: _________________________________ Date: ___________
(when FAXING a hardcopy Order)
VISA, MASTERCARD, AMERICAN EXPRESS and DISCOVER orders can be submitted via the
Submit button at the bottom or FAXED to (513)721-0813.
Once your check or credit card charge has cleared,
your Jazz Arts Ceramics Order will be FedEx'd to you immediately with an email announcment stating such..
To place your Orders, press the Button below:
