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7868 State Road 73

Columbus, WI 53925

carol@ewesfulgifts.com

Phone for Inquiries 920-623-3536

Order Form

Ship To: (Please print legibly)

First Name: ______________________ Last Name: ___________________

Address: ________________________________ P.O. Box: ________

(NOTE: Please include street addresses, as UPS and FedEx cannot deliver to PO Boxes)

City: ______________________________ State: _________ Zip:___________

Daytime Phone: _____ - ______ - ________ (For questions about your order)

Evening Phone: _____ - ______ - ________ (For questions about your order)

Email address: ________________________________________

(We email customers upon shipping)

Method of Payment

q Check, Money Order or Certified Check payable to: Ewesful Gifts

Please allow 14 days for your check to clear before merchandise ships out, Money Orders or Certified Checks ship promptly.

q Master Chard (16 digits) qVisa (13-16 digits)

Credit Card or Debit Card No. #_______________________________ Exp: ____-_____

Authorized Signature: ______________________

Thank you for your order. We greatly appreciate your business!

q New Customer q Returning Customer

Item #

Description

Color

Size

Qty

Price Each

Total

Shipping Rates*

Subtotal

Up to $15

$ 4.95

WI Res. Add 5.5% sales Tax

$15.01 - 25

$ 6.00

New Subtotal

$25.01 - 45

$ 8.00

Shipping

$45.01 - 65

$ 11.00

Grand Total

$65.01 - 90

$ 14.00

$90.01 and over

$ 17.00

For express delivery, please call for rates

*Please call or e-mail for rates on oversized merchandise (framed prints) See website.