SZAFRAN ORDER BLANK

BOOTIES ORDER BLANK

THERESA SZAFRAN

3448 MCKENZIE DRIVE

ANCHORAGE, ALASKA 99517

V.telephone: 907-245-4111

Just print this form and fill in out and mail it with your check.


BOOTIES ORDER FORM
Name            ___________________________________________________________________________________

Address        ___________________________________________ (street address only, no P.O. boxes, please - we ship by USPS)

City or Town   ___________________________________________   E-mail address: ___________________________

State/Zip   ____________________________________    ___________________________                             ___________________________

Just fill in the form below and mail it in with payment, or call 1-907-245-4111
Item Number
Qty
Units
Description (color, size, thickness, etc)
Price Each
Total Price
 
 
    
 
 
 
 
  
 
 
 
           
           
 
 
  
 
 
 
           
 
 
  
 
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
 
  
 SHIPPING and HANDLING:
  
Add $5.00
 
 
TOTAL DUE:
-------- 
 $