Gifts Order Form

Gifts That Benefit the Forest
15% of each sale supports

Order Form
Please print this form to mail or fax it to me.

Douglas Stowe
PO Box 247
Eureka Springs, AR 72632 Phone (501) 253-7387
Fax (501) 253-7387

Name Address City State ZipCode Country

Phone: Fax: Email:

Item Description(Desk Accessories-specify inlay or spalted)           Price    How Many   Amount

Shipping and Handling
Up to $50.00       $4.00 US $6.00 Canada
$50.01 to $100.00     $7.50 US $9.00 Canada
$100.01 to $200.00     $8.50 US $10.50 Canada
$200.01 and up        $10.00 US $12.50 Canada

Subtotal Shipping & Handling Sales tax 4.625% AR only Total

Comments

Method of Payment
    Check      Make check out to: Douglas Stowe.
    Credit Card
MC/VISA #                Exp Date

Signature _____________________________________

Next Step! Please print this form, mail it to me or fax it to (501)-253-7387

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