Fullerton Museum Center

Museum Store Order Form

Ship To
____________________________________________________________ 
Name (please print)                     Phone
____________________________________________________________ 
Address                                 Apt Number
____________________________________________________________ 
City                                    State      Zip
Item Quantity Price Amount

















Subtotal


Tax (7.75%)


Shipping & Handling


Total


Method of Payment
______ Check made payable to Fullerton Museum Center 
______ Mastercard _____ Visa _____ AMEX
__________________________________ _______________
Card Number                        Expiration Date
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Name on Account
301 N. Pomona Ave., Fullerton, CA 92832 * Fax (714) 738-3124
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