Please print out and Mail or Fax the following information

Description, Color, Size

Style No.

Quantity

Unit Price

$ US

1.

$

$

2.

$

$

3.

$

$

4.

$

$

5.

$

$

$

U.S. SHIPPING: UPS Ground $15.99, Priority Mail $15.99, UPS 3 Day Select $23.99, UPS 2nd Day Air $32.99, U.S.P.S. Express $36.99, UPS Next day Saver $49.99, UPS Next day air $59.99
INTERNATIONAL: Global Priority $24.99 to Canada, $54.99 Global Express for all other International destinations.

TOTAL DUE >>>> (Credit card, personal check or money order amount)  
Please make checks or money orders payable to Serenity Designs

$

Full Name

Telephone  

Street or P.O. Box Address:

E-Mail Address

City                                            State                                Zip

Country

Credit Card Payment:  We accept Visa, MasterCard, American Express, Discover

Print Cardholder Name

Today's Date

Credit Card Number, Exp. Date

Signature

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