Fax Form for Designs by Sherri

Please print this form and fill in the appropriate information. Deliveries take 6 to 8 weeks. You can fax it to (562) 790-8965 or mail to:

Sherri Pence Rawson
5152 Levelside Avenue
Lakewood, CA 90712

First name  
Last Name  
Address  
Address1  
City   State   Zip  
Other info  
Phone Number  

 

Item # Description
Open/closed back
 Qty Unit Cost Total Cost
           
           
           
           
           
       
S & H
 
       
Subtotal
  
       
Tax* (subtotal*tax rate)
  
       
Total
  
*Please add the appropriate sales tax for your area/state

 

Method of Payment
Check (make checks payable to Sherri Pence Rawson) Credit card type:   VISA      MC       
Credit Card Credit card Number:   Exp Date: