Qty.___Description_______________________Price ea. ____Total_____ Qty.___Description_______________________Price ea.____Total_____ Qty.___Description_______________________Price ea.____Total_____ Qty.___Description_______________________Price ea.____Total_____ Qty.___Description_______________________Price ea.____Total_____ Qty.___Description_______________________Price ea.____Total_____ Qty.___Description_______________________Price ea.____Total_____ Qty.___Description_______________________Price ea.____Total_____ (Louisiana Residents Only-6.5%) T ax_____ S&H______ Total_______ For additional items, print as many forms as needed Shipping will be added to your order. Sales tax will be added for LA residents. |
Printable Order Form Gracious Treasures Gift Shop Gala Girl Purses 4201 Hwy. 505 Dodson, LA 71422 Phone...(318)628-7656 Fax...(318)648-8322 Email...galia20@mail.com http://www.gracioustreasures.com http://www.galagirlpurses.com |
First Name:_______________________________ Last Name:________________________________ Address:___________________________________ City:______________________________________ State:________________________Zip___________ Country:___________________________________ Telephone:_________________________________ Fax:______________________________________ E-Mail:____________________________________ |
Method of Payment (Circle One) Check - Money Order Please make checks or money order payable to... Galia Cockerham or Gracious Treasures or Pay Online with PayPal using credit card or bank account |
If you would like me to send this to a different address, fill out shipping form below: |
Ship to: Name:______________________________________ Address:_____________________________________ City:________________________________________ State_____________________Zip________________ Country_____________________________________ |
Shipping /Handling |
UPS or Priority Mail-U.S. up to $20.00 $5.95 $20.01-$30.00 $6.95 $30.01-$40.00 $7.95 $40.01-$50.00 $8.95 $50.01-$75.00 $9.95 $75.01-$100.00 $10.95 $101.00-&Over $12.95 |
For those ordering from Canada or other international countries, please add $5.00 to shipping for your amount of purchase. If not paying through paypal, send international money order to Galia Cockerham or Gracious Treasures. |
