ORDER FORM

Norsk Fjord Fiber P.O. Box 219 Sapphire, NC 28774 TELEPHONE: (828) 884-2195 EMAIL: nff@norskfjordfiber.com WEB: www.norskfjordfiber.com DATE:  // PHONE:  () - E-MAIL:

MAILING ADDRESS

UPS ADDRESS (if different)

DESCRIPTION SIZE/COLOR QTY PRICE TOTAL

SHIPPING/HANDLING CHARGES* Purchase Amount Under $30 $30-$99 $100-$199 Over $200 US Address $6.00 $11.00 $15.00 Cost Canada and International Cost + $5 Cost +$5.00 Cost +$5.00 Cost +$5.00   SUBTOTAL SHIPPING AND HANDLING NC Residents Add: 7.75% sales tax TOTAL

VISA/MC#      Exp Date

Signature _________________________________________