Hand-crafted self watering ceramic African Violet Pots and Ceramic Fanpulls

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Crafty Lady Boutique - ORDER FORM - http://www.craftylady.com

Please print this page and fill out completely. Use it to keep track of what you want to order.

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NOTE: Please add sales tax if you live in California				.
.Plus California Sales Tax 7.75%				.
.	.	.	TOTAL:	$
*Note: If price includes "Shipping" the charges are only within the USA. Call or for International charges.

Please ship to:

Name:________________________________________________

Address:______________________________________________

Street:________________________________________________

City:______________________ State: _____ Zip:_____________

Phone: ( _________________________) -- We will call or email you if we have questions.

Email: ________________________________________________

Please charge to my credit card below _________
(Charge to MC____ or VISA _____, DISCOVERCARD ___ or AMEX ______ )
or --- I have enclosed a money order _______ , payable to Penny Stewart
(No personal checks, please.)

Account #____________________________________
EXP Date:_________ (MO/YR)

Signature:___________________________________

Mail completed form to:

Penny Stewart
c/o The Pink Gypsy & Crafty Lady Boutique
41560 Terwilliger Rd, Spc 130
Anza, CA 92539

Please allow 3-4 weeks for Delivery. // Questions about your order? Call (951) 763 2068

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