Printable Order Form   (Retail Parts)
 

Print this form through your browser print button,
manually fill it out (please write legibly), then
fax it with your credit card info to
(540) 678-8779 or
mail it with money order, certified check or cc info to: ->

  Callaham Guitars
217 Park Center Drive
Winchester, VA 22603
U.S.A
 
Date:___________________         
Ship To: Name: ___________________________________________________
  Address: ___________________________________________________
    ___________________________________________________
    ___________________________________________________
  Phone #: (Day Time)__________________________________________
  E-mail: ___________________________________________________

Part Description Quan Price Total
______________________________________________ ____ $________ $________
______________________________________________ ____ $________ $________
______________________________________________ ____ $________ $________
______________________________________________ ____ $________ $________
______________________________________________ ____ $________ $________
______________________________________________ ____ $________ $________
______________________________________________ ____ $________ $________
______________________________________________ ____ $________ $________
______________________________________________ ____ $________ $________
 
Payment:
____ money order   ____ cashier's check

____Mastercard   ____Visa

Credit Card #: (16)_________________________
Expiration Date: ______________________ (3)__

Parts Total: $________

VA Sales Tax (5.3%): $________

Shipping: $________

Total: $________

Name on Card:______________________________________________
Billing Address:_____________________________________________
__________________________________________________________
__________________________________________________________
Phone #:__________________________ E-mail:___________________
Signature:
_________________________________________ Back 08/28/13