Simply Irresistible Order Form
(Please Print in blue or black ink)
Name _____________________________________________________________
Mailing Address _____________________________________________________
City/State/Zip__________________________________________________
Phone Number_(____)________________________________
List Merchandise
| Item# |
Qty |
Description |
Color/Size |
Price |
Total Amount. |
| * |
* |
* |
* |
* |
* |
| * |
* |
* |
* |
* |
* |
| * |
* |
* |
* |
* |
* |
| * |
* |
* |
* |
* |
* |
| * |
* |
* |
* |
* |
* |
| * |
* |
* |
* |
* |
* |
| * |
* |
* |
* |
* |
* |
Merchandise Total:__________
S & H (table found on Ordering Information section of this web site):__________
(Rush Shipping orders: add 15% of Merchandise Total (total x .15):__________
Total Amount:$__________(Merchandise total + all applicable S & H)
Paid By:
_Cashiers Check
_Money Order
Make cashier's check/money order payable to: Simply Irresistible and mail to: Simply Irresistible , 6426 North 107th Ct, Omaha NE 68134.
Thank you for shopping with us!
Simply Irresistible