Please complete the Order Form and fax it to
(415) 362 - 4569
NAME
ADDRESS
CITY
STATE
ZIP
DAY TEL.
EVE TEL.
E-MAIL.
DESCRIPTION AND DECORATION
Item No.
Q.ty
Price
Subtotal
SALES TAX
(all merchandise shipped within California must add 8.5% Sales Tax)
SHIPPING CHARGES
please let us know which kind of delivery you prefer and we will quote an estimate cost (UPS GROUND, RUSH DELIVERY, ETC)
Card Type
VISA
MASTER CARD
AMEX
Select
No
Exp Date
01
02
03
04
05
06
07
08
09
10
11
12
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
Signature of authorized cardholder
BRIDAL
GENERAL
OCCASION
CHRISTMAS
ALTERNATE SHIPPING ADDRESS OR GIFT
NAME
ADDRESS
CITY
STATE
ZIP
MESSAGE
