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Print Ready Order Form
ORDER FORM
Please complete form below before printing, then please print page and mail it with your check, cashier's check or money order to:

Shannon Griffiths
1426 Fredericks Ln
Upland, CA 91786

Prices and availability of items on this web site are subject to stock on hand. If you have questions on colors, styles, etc., please call Shannon (Shahira) at (909) 946-7808.

FREE zill bag with any purchase over $15!
Enclosed is:    Check Money Order Cashier's Check

First Name MILast Name

Billing Address:
Street City State Zip Code

Shipping Information (if different from Billing Information):
Name
Street City State Zip Code

Daytime phone number
Email
Item No. Quantity Description Unit Price Amount
Subtotal
7.75% Sales Tax (California residents only)
Add Shipping, Handling and Insurance charge from table below
Total
Order Subtotal Shipping, Handling and Insurance
Up to $19.99 $4.00
$20.00 to $29.99 $5.00
$30.00 to $39.99 $6.00
$40.00 to $59.99 $7.00
$60.00 and up FREE (U.S. Only)


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