Back to Carousel Stained Glass

Mail Form and Check or Money order to:

Roseanne Bessermin
W. 3742 Broad
Spokane, WA 99205

To Order by Mail simply fill in the appropriate blanks in the form below, then print the form with the print funtion of your web browser.

CONTACT INFO
Name:
Contact Me By:
Address:
Address Line 2
City:
State:
Zip:
Business Phone:
Email:
Home Phone:
*Please specify in the description if the item is part of a mobile or in a planter
Item #
Description
Quantity
Unit Price
Total Price
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Shipping and Handling Chart (US Mail)
Order Subtotal
S&H
% of Order
$0.01-$9.99
N/A
$10.00 - $49.99
$2.30
$11.50
23%
$50.00 - $99.99
$10.00
$20.00
20%
$100.00 - $199.99
$15.00
$30.00
15%
Orders over $200.00
$30.00
and up
15%
Please Allow 2 to 6 Weeks for Delivery

Shipping and Handling
$
Subtotal
$
Washington Residents add 8.1% Sales Tax
$
Total
$

Comments or Specifications

Thank You For Your Order