Muzik Box, Etc.
c/o Carol Guzik
13996 Clifton Boulevard
Lakewood, Ohio 44107
Telephone: (216)221-6924
Click Here to Order Securely Online by Credit Card
To order please print out this order form and mail it to the address above or click on the
link above to use our online form for credit card orders.
Shipping Charges
0-19.99 = 4.95
20.00-29.99 = 6.95
30.00-49.99 = 9.95
50.00-74.95 = 12.95
75.00-99.99 = 15.95
100.00-199.99 = 19.99
200.00-249.99 = 24.99
250.00-499.99 = 29.99
. Items are shipped to you within 1-3 weeks.
We accept payment by check, money order, Visa, Mastercard, or Discover.
Customer Information:
Name:___________________________________ Address:_________________________________
________________________________________
City:___________________State:_________
Zip Code:________Country_______________
Phone number:_________________________
Email Address:_________________________
Ordering Information
Item#______Qty:_______Price______________
Item#______Qty:_______Price______________
Item#______Qty:_______Price______________
Item#______Qty:_______Price______________
Item#______Qty:_______Price______________
Item#______Qty:_______Price______________
Total:__________
Any special instructions?________________________________________
____________________________________________________________
Payment Method
Please circle one: Check / Money Order / Cashiers Check /
Please make check or money order payable to: Carol Guzik
