Attention International Customers:

Thank you for your interest in Motawi Tileworks. When ordering, please complete this form and fax it to us at: 011.734.213.2569. Provide us with your email address, and we will acknowledge your order, confirm your shipping charges, and estimate a delivery date.

Billing Address

First Name Last Name

Address

City

State or Province Zip or Postal Code

Country

Phone (for delivery purposes) Email Address

Billing Information

Credit card (circle one) MasterCard Visa American Express Discover

Card NumberExpiration (month/year) /

Shipping Address

Check if same as billing

Shipping Name

Address

City

State or Province Zip or Postal Code

Country

Phone (at shipping address)

We will always look for the best value when selecting a shipping method. In most cases, international shipments will be made through the US Postal Service. Please check one of the following:

Motawi can check a shipping method and add the charge to my credit card
Please send me an email estimating shipping charges prior to billing my credit card

Special Instructions for this Shipment

Order Form

Please list your order items here, following the example shown.

Size	Description	Color	Framed?	Price	Quantity	Ext. Price
6x6	Button Basket	Tangerine	N	$60	2	$120









Subtotal
Shipping
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Fax orders to: 011.734.213.2569

Motawi Tileworks: 170 Enterprise Drive, Ann Arbor, MI 48103 | motawi.com