*~* For Easy Ordering Print and Mail this form: *~*
Credit Card Orders May Also Call, Fax or Email Orders.

Qty:___ Item _______________ Design #____Color ______ Size_____ Price Each: $ _______ Total $

Qty:___ Item _______________ Design #____Color ______ Size_____ Price Each: $ _______ Total $

Qty:___ Item _______________ Design #____Color ______ Size_____ Price Each: $ _______ Total $

Qty:___ Item _______________ Design #____Color ______ Size_____ Price Each: $ _______ Total $

Qty:___ Item _______________ Design #____Color ______ Size_____ Price Each: $ _______ Total $

Qty:___ Item _______________ Design #____Color ______ Size_____ Price Each: $ _______ Total $

Qty:___ Item _______________ Design #____Color ______ Size_____ Price Each: $ _______ Total $

Qty:___ Item _______________ Design #____Color ______ Size_____ Price Each: $ _______ Total $

Qty:___ Item _______________ Design #____Color ______ Size_____ Price Each: $ _______ Total $

Qty:___ Item _______________ Design #____Color ______ Size_____ Price Each: $ _______ Total $

Qty:___ Item _______________ Design #____Color ______ Size_____ Price Each: $ _______ Total $

Qty:___ Item _______________ Design #____Color ______ Size_____ Price Each: $ _______ Total $

Sub Total: $

CA Residents, Please add 7.375% Sales Tax $

Shipping & Handling (see chart below) $

Total Enclosed: $

Payment Options: Visa ___ MasterCard ___ Check/ Money Order ___ or COD with Cashier Check ___

Credit Card # ________________________________________________ Exp. Date: ______________

Name On Card:

Signature::

Allow 2 weeks for delivery

Please make checks payable to Etc... by Donna in US Funds

Thank you for your order. We appreciate your patronage.

Shipping & Handling Charges: up to $50.00 add $3.20; $50.00 - $100.00 add $6.50 COD add 5.00. Figure S & H separately for each address we ship to.

Ship To:

Company Name:

Name:

Address:

City/Providence:

State & Zip Code:

Country:

Phone with Area Code:

Fax with Area Code:

Email: