Make your own free website on Tripod.com
Order Form

Click here for special order
Name:

Address:

City, State, & Zip:

Phone Number:

E-Mail:

Check the item(s) you wish to order.

Item Quantity Price (each) Total
24 inch plastic goose $15.00
Lighted Vase $15.00
4th of July $10.00
Bikini 1 $10.00
Bikini 2 $10.00
Bikini 3 $10.00
Bumblebee $10.00
Cow $10.00
Cowboy $12.00
Easter Bunny $10.00
Farmer $12.00
Hawaiian $5.00
Leather Jacket $10.00
Devil $10.00
Pumpkin $10.00
Raincoat $12.00
Reindeer $12.00
Santa $12.00
Snowman $12.00
Springtime $10.00
St Patricks Day $10.00
Valentines Day $10.00
Fisherman $10.00
Maid $12.00
Happy Face $10.00
Butterfly Catcher $10.00
Witch $10.00
Subtotal
Shipping
$4.00 for 1-3 items
$7.00 for 4-7 items
Total

Please make check or money order payable to:
Aimee Wicht

Send to:
537 Jones Ave.
Baden, Pa 15005




*If you prefer to mail your order with your payment, please use the print function on your toolbar to print this form.

*Please allow 2-3 weeks for delivery.

Thank you.