You may fill out this order form by typing directly onto the screen then printing, or you may print this form out and fill out the contents by hand.
** Only one name per order form.
| Style A: Magnet Back (for thin clothing) | How Many? | |
| Style B: Pin Back (for heavy clothing) | How Many? | |
| Style C: Pocket / Purse | How Many? |
| First Name | Middle Initial | ||
| Last Name | Title (Optional) | ||
| Company | Phone | ||
| Address | City | ||
| State | Zip Code |
| Comments |
| Order
3 of any style: $23.00 |
| Order
2 of any style: $18.09 |
| Order
1 of any style: $10.09 |
| Sub-Total: | |
| WA Sales Tax 8.8% | |
| Shipping & Handling $1.50 | |
| Total: |
Mail this Order Form to:
Just For You
P.O. Box 184
Hansville, WA 98340
Phone: (360) 638-1141 Fax: (360) 638-1141
* PLEASE INCLUDE
YOUR BUSINESS CARD WITH YOUR CHECK *
