| Qty:____ Item ____________ Color ________ Price Each: $ _____ |
| Qty:____ Item ____________ Color ________ Price Each: $ _____ |
| Qty:____ Item ____________ Color ________ Price Each: $ _____ |
| Qty:____ Item ____________ Color ________ Price Each: $ _____ |
| Qty:____ Item ____________ Color ________ Price Each: $ _____ |
| Qty:____ Item ____________ Color ________ Price Each: $ _____ |
| Qty:____ Item ____________ Color ________ Price Each: $ _____ |
| Qty:____ Item ____________ Color ________ Price Each: $ _____ |
| Qty:____ Item ____________ Color ________ Price Each: $ _____ |
| Qty:____ Item ____________ Color ________ Price Each: $ _____ |
| Sub Total: $ |
| NY Residents, Please add Sales 7% Tax $ |
| Add Shipping & Handling ($3.95 for each ship to address). |
| Total Enclosed: $ |
| Payment Options: Check/Money Order ____ |
|
Allow 2 weeks for delivery
|
| Thank you for your order. We appreciate your patronage. |
|
Please make checks payable to Lazy-J Creations in US Funds
|
