Lavender Lace Celtic Order Form
Name: ________________________________________ Daytime Phone: _______________
Address: ______________________________________ Evening Phone: __________________
Address 2: _____________________________________ Cell Phone: _____________________
City: __________________________________ State: _______ Zip + 4: __________-________
Email Address: ________________________________________________________________
Shipping Charges in USA
Order Amount Shipping Payment Method Subtotal: ___________
$29.00 or less $7.00 (circle one) Sales Tax* ***: ___________
$30.00 - $39.00 $8.00 Money Order Discounts or Coupon: ___________
$40.00 - $49.00 $9.00 MasterCard/Visa Shipping: ____________
$50.00 - $99.00 $10.00 Check GRAND TOTAL: ____________
$100.00 and over – 10% PayPal***
Credit Card Number**:__________________________________________ Exp.: _____/_____
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.
*** For PayPall, send payment to LavenderLace1@gmail.com
**** (Texas Residents ONLY) add 6.25% Sales Tax
Mail Orders to: Lavender Lace Celtic, P.O. Box 2150, Lytle, TX 78052
Email us: email@example.com
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.