The Pink Gypsy - Order Form

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The Pink Gypsy - ORDER FORM - http://www.pinkgypsy.com

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

Quantity	Order #	Item	Price	Total
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NOTE: Please add sales tax if you live in California				.
.Plus California Sales Tax 7.75%				.
PRIORITY MAIL: $5.00			+ 5.00
FIRST CLASS MAIL: $2.50			+2.50
.	.	.	TOTAL:	$
Note: Price includes "Shipping" via US Post Office Media Mail (3 weeks delivery time) within the USA. If you need it faster, choose Priority Mail for $5.00 extra, OR First Class Mail* for $2.50 Call 951 763 2068

Please ship to:

Name:________________________________________________

Address:______________________________________________

. . . . . _______________________________________________

City:______________________ State: _____ Zip:_____________

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

Email: ________________________________________________

____Please charge to my credit card:
(Charge to MC____ or VISA _____ or Discovercard____ or American Express_____

____ I have enclosed a cashier's check or money order (no personal checks, please) payable to Penny Stewart

CREDIT CARD #____________________________________
EXP Date:_________ (MO/YR)

Signature:___________________________________

Mail completed form to:

Penny Stewart
c/o The Pink Gypsy
41560 Terwilliger Rd, Sp 130
Anza, CA 92539

Questions about your order? Call (951) 763 2068

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http://www.pinkgypsy.com/orderfrm.htm, Last revised 03/08/07

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