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OrderForm
Important:
Please print the form and mail it with your check to the following
address:
Mitzi Perdue
1529 Woodland Road
Salisbury, MD 21801-6738 USA
Sold to:
Name: _______________________________________________
Street Address: ________________________________________
City: _____________ State: _____________ Zip: _____________
Email Address: _______________________________
Telephone Number: ___________________________
Ship to:
Name: _______________________________________________
Street Address: ________________________________________
City: _____________ State: _____________ Zip: _____________
Email Address: _______________________________
Telephone Number: ___________________________
Please enter the quantity of the items you wish
to order in the fields below, then total the amounts and add Maryland
Sales Tax if appropriate:
Quantity
|
Item Description |
Price |
Shipping |
Total |
| Books |
| |
The I Want to EggScape™ Book," |
$24.95 |
$5.00 |
|
| |
EggScapes™ |
$10.00 |
$5.00 |
|
Customized EveningEgg™
|
|
| |
EveningEgg™ |
$2000.00 |
$20.00 |
|
| Special Instructions: |
|
|
|
| Subtotal |
|
| Sales Tax
(5% if Maryland Resident) |
|
| Total
(Please include a check for this amount with your order) |
|
|
