(Snowflakes)
39 Parnell Avenue
Daly City, CA 94015
(650) 878-3424
Email: gloria.mccarthy@gmail.com
 

USE YOUR VISA
OR MASTERCARD
 
Allow 3-6 weeks
for delivery
Complete the customer information below. Then print out this form
and fill in your order and other necessary information.
Mail completed form to the address shown for Gloria Ann McCarthy
at the top of this order form page.

Date
Phone

Name
Street
City State Zip
Province or Location (if outside USA)
Country (if outside USA)
Email Address

 
NOTICE: We make no allowance for breakage in transit. Each shipment is adequately insured. ALL CLAIMS FOR BREAKAGE SHOULD BE REPORTED TO THE TRANSPORTATION COMPANY IMMEDIATELY. KEEP ORIGINAL CARTON UNTIL AFTER INSPECTION.
Quantity Article
Number 		Name of Article Unit
Price 		Extension
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
SUB TOTAL
   
CA. RESIDENTS ADD 8.25% SALES TAX
   
ESTIMATED SHIPPING (15%)
   
GRAND TOTAL
   
(Prices subject to change without notice)
PAYMENT METHOD
Date: _________________Check or M.O. enclosed $_____________
___ MasterCard
 ____ Check
____ Visa
 ____ Money Order

Complete Credit Card No.

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Card Expiration Date:
Month
Year
   
__________________________
Customer Signature

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