Please print out form and mail along with payment. Your items will be mailed within 4-5 business days from receipt of order.

Name______________________________________

Mailing Address___________________________________________________________

City_____________________ State_________ Zip_______________________

Phone(____)_______________ E-mail______________________________________

ORDER:

Quantity	Name of Item & Description	Catalogue Number	Price
Subtotal
click for shipping rates Shipping
Shipping Insurance *not responsible for uninsured items (check here)
Total
Do you need gift boxes?

TOTAL ENCLOSED: $ __________________ (Check payable to: Alice Haggerty)

Credit Card Payments: Name on Card _____________________________________

Card #_______________________________________ Exp. Date _______________

Signature _____________________________________