Print out this form and fax or mail in with check or money order to:
MASACCO NEW YORK
53 Leonard St, Suite 2W, NY, NY . 10013 . T. 212.925.8667 . F. 212.925.3575 . info@masacco.com
Please make checks payable to Anne Moss

RETAIL ORDER FORM
All Internet retail customers get 15% discount off retail price.
Name: Date:
Address 1:
Address 2:
City: State: Zip:
Phone: Fax: Email:
Fabric Colors Quantity Retail Price
 15% discount** Total
Studio Knit Black $40 $34 $
  Ivory $40 $34 $
  Red $40 $34 $
  Charcoal $40 $34 $
Plush Velvet Black $50 $42 $
Crushed Velvet Champagne(Ivory) $50 $42 $
Glossy Velvet Moss $44 $37 $
Cranberry $44 $37 $
Silver Shimmer Silver $60 $51 $
Fabric Swatch Card $5 $5 $
Subtotal $
Shipping*** $
      Sales Tax NYState Residents add 8.25% Tax on shipping &sub total $
      TOTAL $

**Retail customers get 15% off.
***Shipping in continental US: $6 for 1st item, add $1 for each additional item.
All orders require advance payment by check or money order.
Returns must have prior approval. Please call.