UrbanScapes is an online catalog store owned & operated by Widerview Inc.

For Fax Orders:                      Send Mail Orders to:
Print out this order                          Mail Order Dept.
form and fax it to our                       Widerview Inc. 
TOLL-FREE FAX ORDER LINE      P.O. Box 136
1-888-371-3434		   Petaluma, CA 94953

		      
Bill to Address:___________________________________________________________
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Ship to Address:__________________________________________________________
   (If different)         ___________________________________________  
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Contact Phone # ______________________________Email:______________________


                  I would like to order these items from UrbanScapes:
 
Item #		      Description		     Price	      Quantity	       Total

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                                                                                                     Subtotal of order:____________________

                                (Shipping charges, if any, are listed next to unit prices) Shipping:____________________ 
    
                            (Please include 7.75% sales tax if items being shipped to Calif) Tax:____________________

                                                                                                                Order Total:____________________ 

Payment Information
 
Method of payment (please check one)

Credit card:____Check or money order enclosed:_____(payable to Widerview Inc.)

Information below needed to process Credit Card orders:

Type of Credit Card:	Visa___Mastercard___Discover/Novus___American Express___ 

Credit Card Card Number: __________________________________

Valid from: ____Expiration date:_______

Name as it appears on credit card: ______________________________________________

Card holders phone: (please be sure to include area code) ____________________________

Card Holders signature:_________________________________________________________   
                    
                    
                                                          Thank you for shopping at UrbanScapes!

                                                      Widerview Inc. - Corporate Office
                                                                P.O. Box 136, Petaluma, CA 94953	
		                                 Contact Us: corp@widerview.com