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Lavender Lace Celtic

Celtic Jewelry and Gifts

Lavender Lace Celtic Order Form

Lavender Lace Celtic Order Form

Name: ________________________________________ Daytime Phone: _______________

Address: ______________________________________ Evening Phone: __________________

Address 2: _____________________________________ Cell Phone: _____________________

City: __________________________________ State: _______ Zip + 4: __________-________

Email Address: ________________________________________________________________

 

Color/Size

Description

Quantity

Price

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SHIPPING*: SUBTOTAL: $___________

USA:  $5.95 SALES TAX***:  $___________

Canada:  $12.95 DISCOUNTS/COUPON CODE:  $___________

International:  $23.95  SHIPPING*: $___________

GRAND TOTAL: $___________             PAYMENT METHOD (circle one)

  • Money Order or Check (Payable to Lavender Lace Celtic)  PROCESSING WILL TAKE LONGER because we will wait for checks to clear before shipment.

  • Credit Card** (Which?)______________  Credit Card Number:_________________Exp.: _____/_____

          Authorization Number (last 3 on back of card) _______

This form may be printed and reproduced as needed for Lavender Lace orders.

** Credit Card billing address must match billing address.  If you wish us to ship to a different address, please provide credit card billing address in addition to shipping address.  

*** (Texas Residents ONLY) add 8.25% Sales Tax

Mail Orders to:  Lavender Lace Celtic, P.O. Box 2158, Lytle, TX 78052

Email us: [email protected]

Credit Card Orders may be called in to 210-461-0754. 

If you have a rewards card, please send it with your mailed-in order.  We will validate it and send it back with your order.