Bag Order Form
Bag Order Form
Date:.........................
Name:...................................................
Address:...........................City:....................State:.....Zip:........
Telephone number:........................
e-mail address:............................
Quantity:.......Style #:............Price:$..........
Quantity:.......Style #:............Price:$..........
Quantity:.......Style #:............Price:$..........
Quantity:.......Style #:............Price:$..........
Quantity:.......Style #:............Price:$..........
Total $..........................
+Shipping $3..............................
orders over 3 Qty. $1. each...........................
Total $......................................
Make check payable to: Elaine DeRosa
Mail to: Elaine's Originals
29 Rancho Road
Tustin, CA. 92780