| Please download this form; print clearly; fax or mail (We do not accept or store Credit Card Numbers on our computer) Name________________________________ Address(No P.O. Boxes Please)______________________ City, State, Zip_________________________ Country______________________________ Area Code_____Phone___________________ ______book(s) @ $12.99 + $3.00 S/H (Tx. add .81 tax) per book Total $_________ Do you want an e-mail confirmation? Y__ N__ e-mail________________________ For payment by MasterCard or Visa Account #_____________________________ Expiration Date_________________________ Cardholder's Signature___________________Date_______ Address______________________________ |
I would love to post a color picture of your bouquet here. If you are in the picture, even better! |
| Please fax your CC order to 903-479-0125 or mail to: Casey Lester P.O.Box 1492 Canton, Texas 75103 |