This form when submitted will e-mail your order
Then you may
Print it for mailing with your remittance
We hold your privacy of up most of importance to us, your name and affairs will be kept private!
Customer Information:
For your security
do not
e-mail credit card information.
You may type #s in before printing
Name:
Address:
City:
State:
Zip:
Country:
Telephone:
Fax:
E-mail:
Website:
How did you hear about our site?
A Distributor
A Friend
Dealer
Search engine
Other
Method of payment
Mastercard
Visa
Money order
Personal check
Cashiers check
Other
Acct Number:
Expires:
Questions:
Product Order Form:
Item
Description
Qty
Price Ea.
Total
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
TOTAL
$
We accept
Please pay
[email protected]
when paying via
PAY PAL
Please send the total amount to:
Angelie's Interiors & Gifts
P. O. Box 58
Coupeville, WA, 98239
Phone or Fax Order To:
(360) 678-7592
Thank You For Your Order!
After your order is received by us we will calculate the freight charges and get back to you within 48 Hours.