| Rainbow Gifts & Collectibles 740 S. West Bend Pt. Lecanto, FL 34461 (352) 746-3377 [email protected] www.RainbowGiftsAndCollectibles.com |
| Name: _______________________________________ Address: ______________________________________ ____________________________________________ City, State, Zip: ________________________________ Phone (____)__________________________________ E-mail: _______________________________________ |
| Printable Order Form |
| Item # |
| Qty. |
| Description |
| Color/Size |
| Total |
| Price |
| ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ FSC Free Showcase Catalog (Limit 2) N/C FJC Fine Jewelry Catalog $ 1.00 MG Mystery Gift $ 5.00 GC1 $ 10.00 Gift Certificate $ 10.00 GC2 $ 25.00 Gift Certificate $ 25.00 |
| Shipping & Handling Chart Up to $ 14.95 ...........................Add $ 4.95 $ 15.00 to $ 19.99 .....................Add $ 5.25 $ 20.00 to $ 24.99 .....................Add $ 5.55 $ 25.00 to $ 29.99 .....................Add $ 5.95 $ 30.00 to $ 34.99 .....................Add $ 6.75 $ 35.00 to $ 39.99 .....................Add $ 7.75 $ 40.00 to $ 44.99 .....................Add $ 8.75 $ 45.00 to $ 49.99 .....................Add $ 9.35 $ 50.00 & up ............................Add $ 9.75 |
| Merchandise Total _____________ Discounts _____________ Shipping & Handling _____________ Subtotal _____________ FL residents add 6% tax _____________ Total Amount Due _____________ |
| Enclosed is the full amount of my order $__________________ Paid by: (Please check one) /```/ Personal Check /```/ Money Order Make payable to: Mark & Tara Rushing Thanks for your order |
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| Please print out and mail to: Rainbow Gifts & Collectibles c/o Mark & Tara Rushing 740 S. West Bend Pt. Lecanto, FL 34461 |