
| Snail Mail: Print this page, fill it out and mail to: | Desert Bloom Designs 6077 Far Hills Ave #161 Centerville, OH 45459 |
| Fax: Print this page, fill it out, and fax to: | 1-937-534-1979 |
| Call: Louise 9am to 6pm Eastern Time | 1-800-773-9152 enter the pin 2323(bead) when prompted |
Ship to: (please print) Name |
| Address |
| City |
| State |
| Zip code |
| Phone number |
| Email address for confirmation |
| QTY | Item # | Description or name of item | Price | TOTAL |
| If an Ohio Resident add 7.5% sales tax | Sales Tax | |||
| USPS Priority. Under $100.00 add $4.75; $101 to $200 add $6.00; over $200 add $7.00. Insurane fees optional. Call for quote | Shipping | |||
| Allow 4 weeks for delivry or call for availability | TOTAL |
| _______ Check or MO enclosed | Payable to Desert Bloom Designs | |
| Circle One VISA or MC | CC# | Exp date |
| Name on card |
Thanks for your order!