MAIL ORDER FORM (Free Catalog)

Fill in the following form, print it and then FAX/Mail it to Dominic's Art Gallery

To : Dominic's Art Gallery CO.
Postal Address : 3/F., 13 Elm Street, Tai Kok Tsui, Kowloon, Hong Kong
Fax : (852)2789-0643 and (852) 2398-9098
Tel : (852)2391-8495 and (852) 2398-9983

Please charge to my credit card : VISA/ MASTER/ DINERS / A.E. (Please circle your card type)


US$20.00 for the postage and handling charge of a complete catalog of Oil paintings, Frames, Mirrors and Tiffany Lamps (weight: about 1kg)


US$20.00 for the postage and handling charge of a complete catalog of Classical and European Furnitures (weight: about 1kg)


US$5.00 for the postage and handling charge of a CD catalog of products

MY CREDIT CARD NO. :
EXPIRY DATE :
DATE OF ORDER :
NAME OF CARD HOLDER :
NAME OF ISSUING BANK  
MY POSTAL ADDRESS  
TELEPHONE NUMBER :
EMAIL ADDRESS :
SIGNED BY CARDHOLDER

OR

SIGNED BY AUTHORIZED PERSON OR COMPANY

:

¡@

:

¡@
ACCEPTANCE TO THE TERMS OF BUSINESS BY THE CARD HOLDER :
1. I accept the business terms mentioned in this order.
2. I am aware that my credit card will be charged immediately when I am placing this order.
3. I allow the seller to send this order to me through any public means, such as post office, freight
    forwarding agent and etc. The receipt of any of these public means will be counted as my
    personal receipt of the goods.
4. Transaction amount can only process in Hong Kong Dollars, hence there may be a slight
     variation in the actual amount charged due to US dollars conversion rate at the time of
     processing. The approximate currency exchange rate for US Dollars to HK Dollars is
    US$1to HK$7.80.
5. I am aware that I cannot cancel or change this order after signing on this list unless I can
    pay to the Dominic's Art Gallery Co who is a manufacturer, for his raw materials and the
    salaries of his workers.
SIGNED BY CARDHOLDER :

Any combinations of the products are welcome, email us for details or put down the products information you want in a separate paper and FAX your order to us.
Our FAX no. : (852) 2789-0643 AND (852) 2398-9089