Cathy's Creations Order Form


To place an order my mail, print out this form and fill in your selections. You may then mail it to:

Cathy's Creations
4124 Starwood Arch
Va. Beach, VA. 23456
If you have any questions, please email me.

If you already know what you would like to order fill in the form below and press submit. Your order will be submitted securely. We will email a confirmation to verify we have received it. If you wish to pay using PayPal we will send you a money request with your total. If you wish to send your PayPal payment as soon as you submit this our PayPal email address is CATH359@aol.com.



Please Provide the Following Order Information:
Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail


Item With Personalization Color Price Ea. Quantity Total

 $

$

$

$

$
      Sub-total
    VA. residents 4.5% Sales Tax
      Shipping
      Total
Payment Method:
Card # 
Name as it appears card 
Exp. Date 
Cardholder's Signature (If mailed in) 


Retail Shipping Chart
 00.00- 30.00 ...$ 5.50
 30.01- 50.00 ...$ 6.00
 50.01- 60.00 ...$ 6.00
$60.01-$70 ..$7.00
70.01- 80.00 .. $ 8.00
$80.01-$90.00 .. $9.00
$90.01-$99.00 .. $10.00
100.00- contact us on shipping rate

Shipping and handling quotes are for orders within the continental US. Other customers please contact us for shipping and handling prices.


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