Bill to:

Name

Address

City

State

Zip

Phone# ( )

CC#

Expires

Visa – MC - Discover (circle which you’re using)

V# last 3 numbers on back of card

Ship to:

Name

Address

City

State

Zip

Phone# ( )

Email Address

Date of event

Quantity

Item # & Center Color

Color of trim or print pattern

Design #

 Shoulder or hip text  & thread color

Wording on item and color of lettering

Font style

Price per-sash

Total

 

             

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

Shipping

 sales tax 9.75%

TN only pays tax

Total

   Special instructions:

 

     

If  you need more than one order form email them separately when you email the order please put in subject line page 1 order, page 2 order, etc. To email this page you can copy and paste or if you are in Yahoo internet explorer click on the page icon. If you any questions call 731-983-0555

 

  Email this page to gwenscreations@wildblue.net