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ORDER FORM
Carol Farnes
P.O. Box 458, Guerneville, CA 95446
Ph/Fax 707 869 3574
Email:  carol@carolfarnes.com

 

Name_____________________________________________________________________________________________

Address___________________________________________________________________________________________

City_________________________________________________  State ______________________ Zip _______________

If paying by credit card, address must be the same as the billing address of that card

Telephone number:  Day _____________________________ Evening ______________________________

Email address__________________________________________________________________________
 
Quantity Style Colour Size Price Total
 
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 
 
  
 
  
 
  
 
  
 
  
 
  
 
  
 
 

Shipping charges
purchases sent by Post Office Priority Mail
purchase amount:

Up to $100
101 - 150
151 - 200
201 - 250
251 - 300
Over 300

$7.00
8.00
9.00
10.00
12.00
15.00

Please allow 4 – 5 weeks for delivery
Total purchases    
Add 9.0% sales tax for CA    
Add shipping – see left    
ORDER TOTAL    
 


PAYMENT INFORMATION

Please check one: Check ________ Money Order ________ Visa ________ Master Card _______

Credit Card Number _________________________________ Expiration Date ________________

3 digit code on back signature strip _______ Signature ___________________________________

Please make checks payable to – Carol Farnes

 

Please see the My Guarantee section of my website for my return and exchange policy