Bag Order Form
Bag Order Form
Date:.........................
Your Name:...................................................
Address:...........................City:....................State:.....Zip:........
Telephone number:........................
e-mail address:............................
Patchwork Bag:.........Price:$40.............
Fat Bell Tassel bag:..........Price:$20.........
Total Tassel Bag:.........Price:$20.............
American Flag Gear Bag:.........Price:$25.............
Canvas Gear Bag:.........Price:$25.............
Cord Red Bag:.........Price:$25.............
Oval Fringe Bag:.........Price:$25.............
Denim Tassel Bag:.........Price:$25.............
Black with gold Bag:.........Price:$15.............
Bagpac:.........Price:$10.............
Total $..........................
+Shipping $3..............................
orders over 3 Qty. $1. each...........................
Total $......................................
Make check payable to: Elaine DeRosa
Mail to: Elaine's Originals
29 Rancho Road
Tustin, CA. 92780