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
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