Aunt Katherines Hand-Made Angels

ORDER FORM


Name:   

Address:

        

City:    State:  Zip: 

Phone:     Fax:
eMail:  


Wings (check one):    GOLD SILVER GREEN RED

Hair  (check one):    BLACK BROWN BLONDE GRAY RED AUBURN

Halo  (check one):    SILVER GOLD WHITE RED BLUE GREEN


Payment Method (check one):  CHECK ENCLOSED   VISA   MASTERCARD
Name on Credit Card:  
Credit Card Number:   
Expiration Date:      

Quantity:    Total at $19.95 each: 
               CA resident add sales tax: 
Shipping and handling (US residents) add: 
                        Total amount due:

INSTRUCTIONS: Complete the above form. You may then either press this button to send your order. Or you may print the completed form on your printer and fax or mail it to Aunt Katherine at the following address. Please make sure that you have included your email address and telephone number on the form. Please allow 2 to 4 weeks for delivery, these angels are hand-made to order.

Aunt Katherine's Angels
11693 San Vicente Blvd. Suite 184
Los Angeles, CA 90049

Telephone: (310) 395-7473
Fax: (310) 458-1171
Email: Auntk@1webblvd.com

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