
Please print out this form, then fill out the information below to place your order. Mail it to the address at the bottom of the page.We currently accept money order as our preferred form of payment.
If you have any questions or would like to place a special order, you can contact Darlene at 989-785-2486.
Name: ______________________________________________________________________ Address: ______________________________________________________________________ Zip: ______________________________________________________________________ Phone: ______________________________________________________________________
Item # Item Name Quantity Price 1) 2) 3) 4) 5) List Any Special Instructions Below: Sub Total: Sales Tax - add 6% Shipping & Handling: Grand Total:
(Total + Shipping)Reg. U.S.A. shipping $6.00
Special Order Shipping and out of country shipping needs to be quoted, so please call 989-785-2486 for price.
Make your money order payable to Darlene Willson and mail to: Darlene Willson
10950 Skyline Drive
Atlanta, MI 49709Thank you for your order! Please allow 3 weeks from
receipt of order for delivery.