Print this form and fill out the necessary information.
(Any information you provide to us is strictly confidential and will not be sold or revealed to any organization or commercial entity)
Enclose a Cashiers Check or Money Order (cash OK with exact amount) made out to Urban Art Tattoo and Piercing and mail to:
Sage's Urban Art Tattoo and Piercing
340 W. University Dr. #33
Mesa, Arizona 85201
Date:____________________________
First Name:_______________________ Last Name:_____________________________________
Street:___________________________________________________________ Apt#:__________
City:_______________________________________________ State:_______ Zip:_____________
Phone:(_____)_________________________ Email:_____________________________________
Item: SET 1 - Price: $60.00 (US) x Quantity:_________ = Total: $___________
Item: SET 2 - Price: $75.00 (US) x Quantity:_________ = Total: $___________
Item: SET 3 - Price: $50.00 (US) x Quantity:_________ = Total: $___________
Item: SET 4 - Price: $60.00 (US) x Quantity:_________ = Total: $___________
Item: Dragon - Price: $20.00 (US) x Quantity:_________ = Total: $___________
Item: Tattoos For Ever - Price: $20.00 (US) x Quantity:_________ = Total: $___________
+ Shipping and Handeling: (check one) _____$5.00 United States, _____ $10.00 International
Grand Total: $_____________
Please allow 5-7 working days for all deliveries.
If you have any questions please call (480) 844-7429 Monday-Saturday 12-9pm MST.
Thank you for your business and support.
Sage's Urban Art Tattoo and Piercing