Printable
Order
Form 
Name:______________________________________________________________________
Street:______________________________________________________________________
City:___________________________________________ State:_________ Zip:__________
Phone&EMail________________________________________________ Date:___________
|
Quantity |
Item description |
Price Each |
Total Price |
| Total: Oklahoma Residents Add 6%: | |||
| Shipping: ($0) to US/Canada | |||
|
TOTAL: |
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Shipping & Handling |
Mail check or money order (no c.o.d.'s) to:
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All designs © 2001 -
2005 Claudia E. Plett, all rights reserved
Credit Card Information:
Card Type: Visa_____
MC_____
Name on Card (If different from
above):__________________________
Credit Card Number:_________________________________________
Expiration Date (Month/Year):__________________________________
E-Mail Address (for confirmation of your
order):_____________________