sand dollar
ornament
and
plaque designs 

angels
beach
bears
birds
bunnies
cats
carousel horse
children
deer
dogs
dolphins
fantasy
farm animals
fishing
flowers
fox
horses
landscapes
leisure
lighthouse
menorah
miscellaneous
penguins
personalized
religious
santas
sea otter
seashells
snowy owls
teddy bears
wedding
wildlife
winnie the pooh

 


sand dollar plaque and ornament mail-in order form

Name
Email
Company
Street Address
City , State Zip
Phone
 

Item No.

Item Description

Quantity

Unit Cost

Total

1st Item
2nd Item
3rd Item
4th Item
5th Item
6th Item
Subtotal
New York State Residents Add 8.25% Sales Tax
Add Shipping & Insurance From Charts
Non-COD Orders (Continental US Only)

SHIPPING
If Your Subtotal is :

Add

Up to $24.00

$4.60

$25.00 ~ $49.00

$7.50

$50.00 ~ $99.00

$10.55

$100.00 ~ $149.00

$13.45

$150.00 ~ $199.00 $15.85
$200.00 ~ $249.00 $16.05

INSURANCE

Fee

$0.01 ~ $50.00

$1.65

$50.01 ~ $100.00

$2.05

$100.01 ~ $200.00

$2.45

$200.01 ~ $300.00

$4.60

Order Total
Payment Method
Check No. Drivers License No. Divers License State
Complete form, print, enclose check and mail to:  Gloria Schneider, 126 Abington Road, Rochester, NY  14622

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