Matisse & Jack's

Offline Order Form

Print and fill-out this form and fax (credit card orders) to (415) 520-5296
or mail (credit card or check orders) to:

Matisse & Jacks
P.O. Box 460217
San Francisco, CA 94146-0217

I am paying by:

___ Visa   ___ MasterCard Acct #: _______________ Exp: __ / __

___ Check (Make payable to Matisse & Jack's)

Item	Bag Price	Quantity Desired	Subtotal
Cocoa Squares	$6.99/box $5.99/box
Granola Bite	$6.49/box $5.49/box
Cranberry Power Snacks	$7.99/box $5.99/box
Chocolate Chip Power Snacks	$7.99/box $6.99/box

Shipping cost: (UPS Standard is $3.85 for the first box; $0.85 for each additional box.) (UPS Priority is $16.00 for the first box; $0.85 for each additional box.)	$_______
Total $: (Subtotals + Shipping)	$_______

Your shipping address: ______________________________ ______________________________ ______________________________ ______________________________ Your email address: ______________________________ (If you provide your email address we can send a confirmation when your order ships)

Where did you find out about us? ______________________________ ______________________________ Comments: ______________________________ ______________________________ ______________________________ ______________________________

Orders by fax or mail typically ship in 1-2 weeks.

Thank you!