Fill in the boxes and Print out the form for mailing.

Click HERE for the optional colors and materials, where available.

First Name:  Last:   Phone Number: - -
Shipping Address:   City:   State:   Zip:
Email address:

**** Totals will be calculated
Item Description Colors and Materials Qty Price ea. Total

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

 Sub Total: 

$

CA Tax rate rate: %
(enter 7.5, if a California resident) 

CA Tax:  

$

  

Grand Total: 

$

 

PRINT this form


Make check or money order payable to: Lori Boersig

Mail printed form and remittance to: Lori Boersig, PO Box 363, Greenville CA 95947