Order Form
Date:.........................
Your Name:...................................................
Address:.........................................
City:.........................
State:......Zip:........
Telephone number:........................
e-mail address:............................
Warmies:
Quantity:.......Size:............
Color...................M/F...
sweat or t-shirt (circle one)
Quantity:.......Size:............
Color...................M/F...
sweat or t-shirt (circle one)
Quantity:.......Size:............
Color...................M/F...
sweat or t-shirt (circle one)
Quantity:.......Size:............
Color...................M/F...
sweat or t-shirt (circle one)
Quantity:.......Size:............
Color...................M/F...
sweat or t-shirt (circle one)
...Pocket Pets:...................
Pets Name:...........................
Pets Name:...........................
...Rag Dog Dolls.................
Doll Name:...........................
Doll Name:...........................
Warmies $18.each..........................
Pocket Pets $16.each:.....................
Rag Dog Dolls $35.........................Pair of Rag Dog Dolls $65....................
+Shipping $3..............................
orders over 3 items add $1. each...........................
Total $......................................
Make check payable to: Elaine DeRosa
Mail to: Elaine's Originals
29 Rancho Road
Tustin, CA. 92780