<center> <font size="7" color="red"><b> Webtv Bug - Reload!</b></font> </center>
Slate Creations
~ Order Form ~
Your Name:
Your Email:
Street Address:
City:  Zip:
Item Number: S001 $19.95 ea
Quanity: 1  2  3  4  5
(Purchase of 6 or more, email for discount.)
Merchandise Amount:
Shipping Amount:       
($4.50 for 1 item / .50 for each additional item.)
Subtotal:                       
PA Shippments,
add 6% Sales Tax:
      
Total Amount Due:      
Payment Method:

Comments or Special Orders:





~Terms and Conditions~

     When your order is received, you will be notified with a confirmation email. I accept payment by money order, personal check and Paypal only. The ID for Paypal is SupportSiggies@webtv.net On receipt of payment, your order will be shipped by priority mail with insurance. All proceeds will go to support www.siggiez.com.

Please make orders payable to:

Rochelle Bender
329 Poplar Street
Columbia, PA  17512


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Thank you for your order,
Rocki




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