INVOICE____________ TODAY'S DATE______________
Payment Type: CREDIT CARD______ Cash_____ Check _____
CREDIT CARD # ___________________________________________
Exp: Date__________
ADDRESS: __________________________________________________
CUSTOMER NAME: _________________________________________
Order:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
PHONE:WK/_____________HM/CELL________________FAX_________________
Pick Up TIME____________________
EVENT DATE: _______________________________________________
LAMBRUSCO’Z TO GO
1344 E. 41ST STREET
TULSA, OK
74105
Phone:
496-1246 FAX 496-2199