Order Form
Date:.........................
Name:...................................................
Address:...........................City:....................
State:......Zip:........
Telephone number:........................
e-mail address:............................
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:..........................Quantity:......................
Pets Name:..........................Quantity:......................
Warmies $18.each..........................
Pocket Pets $16.each:.....................
+Shipping $3..............................
orders over 3 Qty. items $1. each...........................
Total $......................................
Make check payable to: Elaine DeRosa
Mail to: Elaine's Originals
29 Rancho Road
Tustin, CA. 92780