Customer Information Credit Card Orders Order Form

Customer Information
Name:
Address:
City:
Phone: State:
Zip:
Cell:
Fax:
Email:
Payment Type:
Cash
Card
Check
(Make Checks payable to: Chimes, 4815 Seton Drive, Baltimore, MD 21215)
Credit Card Orders
I would like to charge to: __ Visa
Card #: __ MasterCard __ American Express __ Discover
Exp. Date:
Print Name on Card:
CVV:
Signature:
Store
Order Form
Item
Chimes Office Paper Cube
Hat – DC
Chimes Padfolio
Chimes Brief Case Black or Green
Chimes Short Sleeve Polo Sport
Chimes Button up – Blue Short Sleeve
Chimes Denim Long Sleeve Shirt
Wine Glasses
Mason Jars
MagPots Vases
Water Bottle
Winter Knit Hat
Mini Flash Light Key Chain
Lunch Box
Lion
White Chimes Polo
Chimes Camping Chair
Wine Bag
Umbrella
Chimes Glass - Green
Wind “Chime”
Size
Qnty
Price Each Total
$3
$6
$15
$20
$20 & up
$30
$25
$6 (4/20)
$6 (4/20)
$3 / $5
$5
$6
$1
$5
$8
$15
$20
$20
$20
$6 (4/20)
$10
Grand Total
4815 Seton Drive
Baltimore, MD 21215
1.800.972.4463
Wine Glass and Chimes Fest Mason Jars $6 or 4 for $20
Mag Pots: Medium $3, Large $5
Short Sleeve Chimes Button Shirt $33
Chimes Foldable Camping Chair $20
Water Bottle $5
Lunch Box $5 Red, Green, Blue or Yellow
Padfolio $15
Brief Case (Black and Green) $20
Stuffed Lion $8
Wine Bag $20
Store
Denim Long Sleeve Shirt $25
Chimes Short Sleeve Polo S-XL $20,
2XL $22, 3XL $23, 4XL $24
Chimes DC Hat $6
Maryland State Taxes included in Prices
Wind “Chime” $10
White Chimes Polo $15
Chimes Glass $6 or 4 for $20
New items stocked all the time!
Inquire with special color request and check the store on
Seton Drive for limited time merchandise!