Please print and mail to address below.
| Name: | |||||
| Shipping Address: | |||||
| City/State/Zip: | |||||
| Email: | |||||
| Circle One: | 2 characters $ 56.50 |
3 characters $ 62.50 |
4 characters $ 68.50 |
5 characters $ 74.50 |
6 characters $ 80.50 |
| Specify how you
would like your skirt to look (example: 3 characters- make a snowman, snow-lady, and a boy snowman) |
|||||
| Tree Skirt Amount (see above) | $ |
|
Illinois Residents add .0625 sales tax |
|
| Subtotal | |
| Add Shipping &
Handling (see below) One-two: Add $ 4.75, three-four: $ 6.50, five and up: $ 8.25 |
|
| Total Amount Due (must be included with order) | $ |
| Personal Check ڤ | Money Order ڤ | MasterCard ڤ | Visa ڤ | American Express ڤ |
| Credit Card Number | |||
| Expiration date: mm/yy | Name on Card | ||
| Address bill sent to: | |||
| City/State/Zip: | |||
Mail completed form to: Cotton Creations, 2655 W. Airport Road, Morris, IL 60450
Copyright © 2002 [Cotton Creations]. All rights
reserved.
Revised: 09/19/06.