PRINT, FILLOUT & MAIL WITH YOUR ORDERFORM & PAYMENT.
MINIMUM ORDERS OF $25.00
DATE ORDERED-
YOUR NAME-
ADDRESS-
STATE-
ZIP CODE-
IN CASE WE NEED TO CONTACT YOU ABOUT YOUR ORDER PLEASE ADD EITHER YOUR
E-MAIL-
OR
PHONE-
CIRCLE SHIP ORDER TO- SAME AS ABOVE- O R SHIP TO ADDRESS BELOW IF DIFFERENT
SEND TO- NAME:
ADDRESS-
STATE-
ZIP CODE-
CIRCLE YOUR PAYMENT METHOD CASH MONEY ORDER CASHIERS CHECK
WRITE OUT PAYMENT TO: Robin Moyer Po. Box 887 Albrightsville, Pa. 18210.
MAIL ORDER TO: Robin & Donna Po. Box 887 Albrightsville, Pa. 18210.
PRODUCT DESCRIPTION QUANTITY PRICE
TOTAL PRICE OF ORDER
IF YOUR ORDER IS UNDER $50.00 ADD TO YOUR ORDER $15.00 SHIPPING FREIGHT CHARGE
OTHERWISE ORDERS $50.00 OR MORE FREE SHIPPING & FREIGHT.
THANKYOU FOR SHOPPING WITH US AND HAVE A MAGICKAL DAY!