Print or Copy this form and Kindly mail this order, with your remittance, to this address:

Leonora Tanda

3918 W. Beverly Blvd. #505

Los Angeles Ca. 90004

 

 

 

cut here---------------------------------------------------------------------------------------------------------cute here

 

 

______________________________________________________________________________________________

 

Name: ____________________________________________

Address:___________________________________________

City:______________________________________________

State & Zip:________________________________________

Phone (         ):_______________________________(optional)

 

Enclosed is the full amount of my order $______________ Paid by: 

Money Order or Certified Check

 

                                      

                                                                                             Price

                                       1 Catalog:_______________     $ 14.50

                           Sales Tax (8.0%):_______________   _______

 TOTAL AMOUNT ENCLOSED:_______________   _______

________________________________________________________________________________________________

 

Home

Copyright © 2001 Eira's Gift Shop -Leonora & Eira Tanda-. All Rights Reserved.