Country Crafts N Design
Layaway Order Form
P.O. Box 731
Selah, Washington 98942
USA

Fax:  (509) 697-3427

countrycraftsndesign@yahoo.com

Name:________________________________

Address:__________________________________

City___________________________ St:_________________ Zip:________________

Email:__________________________________ Home Phone:_________________

 

Method of payment:  ( PayPal )___   (Check) ___  (Postal Money Order)____Credit Card________

Qt

Color/Scent/Size

Description

Sub-Total

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sub-Total

 

Shipping

 

Total Order

 

Amount Down (min 15% )

 

Any Special Comments:

 

 

 

                  If you would like to order a gift for a loved one or a certificate
fill in below.

Gift Item

 

 

 

 

Gift Certificate

 

 

 

 

Shipping Name and Address:

Email Address for confirmation and information of shipping date:

 

Gift Shipping Address (if different then above)

 

                  We Ship Priority Mail Shipping Charges are listed below.

$0.00-9.99                $7.70

$50.00-69.99                     $22.00

$10.00-29.99            $9.85

$70.00-89.99                     $24.50

$30.00-49.99            $19.70

$90.00-99.99                     $30.00

 

$100.00-199.99                 $32.50

 

   Over $200.00 Add $1.00 per
$25.00

 


Thank you, Management

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