| Retail Order Form I've just installed Pay Pal buttons directly on the web pages. Please use the buttons located next to the product you desire or follow directions below. Bear with me until I get the order form more user friendly. 1-10-08 | ||
| To use order form, please print page, make your selections and either mail, telephone or fax your order to the information listed below. | ||
| Name:______________________________Phone:_________________________ Address: __________________________________________________________ City, State, Zip+4____________________________________________________ Credit Card, Type & Exp. Date__________________________________________ | ||
| ___Qty. ___Pdpk555 ___Rcy-002 ___Rcy-003 ___Exj-1016 ___ Stn-005 ___Jum-1012 ___Doll-001 ___Ves-100 ___Jac-6006 ___Car-7007 ___Stv-8008 ___Skt-9009 ___Rtr-1015 ___Spt-400 ___Str-7007 ___Jig-100 ___Drs-1010 ___GNE100 ___GNE200 |
Junk Jeans Products PINK Drill Pkg, Includes drill, stones, charger, Plus DVD Eazy Quilts & Wall Hangings, Color Book, Patterns Inc. Junk Jeans Extreme Makeover (NEW BOOK) Binky Bib Expo Jacket Pattern Adult SM-3X N E W Stones Only (5 shapes) with velvet bag Jumper Pattern, Adult Sm-3X Child 2-12 18" Doll 18" Doll Jumper, Skirt, Vest & T-Shirt Pattern Designer Vest Pattern, 6 designs, Pt 30" - Lg 42" Bust Upside Down Jacket, Adult Sm-XL Also incl Child 2-12 Cardigan Jacket Pattern, Incl. Sm-3X Shirt-Tail Vest Pattern, Incl. Sm-3X Skirt Savvy Pattern, Incl. Sm-3X Retro Skirt Instructions ONLY, Waistline must fit Space-Tape, 62 total Vert. & Horizontal Buttonholes Straight-Tape, 3 yd. ¼" topstitching lines Jean-a-ma-jig, Heavy seams made easy! Dress-in-Denim Pattern, Sm-3X CLOSEOUT SPECIAL Dancing Wheat, Respectable Love Story by Tracy The Dance Continues by Tracy Nickels Sub Total 6% Sales Tax - SD Residents Only Shipping & Handling TOTAL → |
Cost/Total $50.00 _____ $20.00 _____ $20.00 _____ $15.00 _____ $6.00 _____ $8.00 _____ $6.00 _____ $6.00 _____ $8.00 _____ $6.00 _____ $6.00 _____ $6.00 _____ $5.00 _____ $4.00 _____ $4.00 _____ $3.00 _____ $1.00 _____ $12.95 _____ $12.95 _____ $__________ $__________ $__________ $__________ |
| Shipping & Handling Charges: Send check or money order for the total amount in U.S. Dollars to: $0 to $10.00 = $2.00 $11.00 to $20.00 = $3.00 The Junk Jeans People $21.00 to $34.00 = $5.00 16184 422nd Avenue $35.00 to $60.00 = $9.00 Clark, SD 57225 $61.00 to $99.00 = $12.00 605-532-5625 [Voice] Over $100.00 = Free 605-532-5465 [Fax] Canadian orders: Add $1.00 luveta@itctel.com to shipping rates Visa Mastercard accepted. | ||