Dianes Order Form
Please fill in the appropriate information below and click on the  Submit  tab at the bottom to place your order. Color, Size and Shape may very to suit your designed needs, pots and vases also.  Contact :Diane Deatrick  104 Stephenson Street   Morenci, Michigan  49256 Phone your orders to  517-458-2419 or   

E-mail  Diane-K-D@JUNO.com

Sold to Name
Street Address
City -  State   -  Zip code             
Phone number
E-mail Address
Ship to Name if not the same as sold to above
Ship to Address
Ship to City  -  State  -  Zip Code             
Item #    Item colors          Item name    Description                  QTY.      Price each     Total Price
     
     
     
     
     
     
     
     
     
     
     
Add any detailed colors and instructions in the box below. Typing will continue as long as you need even though it disappears into the box.       Total Items Ordered here  Sub Total#1    

                    

          Add $3.00 S/H per items above total here  #2
                                  Add 6 % Sales Tax here#3
     Add totals from box #1-#2-#3 heretotal due
       
Pick method of payment   CheckMoney order  

print order and Mail order with payment to:    Diane Deatrick       104 Stephenson Street      Morenci, Michigan 49256                                                                       

Signature                     

*Note that all items are custom made for you on request.  Please allow 6 to 8 weeks for delivery.

* This form will be submitted via email to Diane over an unsecured server, this will allow your order to start being processed immediately.  All orders will be sent when funds have been processed.

  This order form via email to Diane Deatrick   This Form     Go to Diane's