White Gothic Studios
Creative Originals By Regina
In order to calculate how much to send for the
mold,
add the amount of the mold, plus $7.00 postage, plus $1.50 postal insurance
for your total.
Florida residents must add an additional 7% sales tax.
Order Form
Name:
________________________________________________________________
Address:
______________________________________________________________
____________________________________________________________________
City, State, Zip:
_________________________________________________________
Email:
________________________________________________________________
Phone:
_______________________________________________________________
Mold(s) you are ordering:
_________________________________________________
Total amount enclosed:
___________________________________________________
Please send that check or money order to:
Regina Edmonds, 4890 NW 13th Terrace, Pompano
Beach, FL 33064
Phone/Fax: 954-420-5120
Email: fairy111@bellsouth.net
Website: www.pushmolds.com
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