Printable Order Form


Sample Printable Order Form (Retail):

 

To submit an order, please print this form and mail to:

 

Dawn Michelle Designs

3906 Rill Ct.

Carlsbad,Ca. 92010

 

 

 

Please allow 1 to 2 weeks for shipping.

 

Items Ordered:

 

Item Number

Item Title

 

Color

Quantity

Price

e.g. n101

e.g. necklace

e.g. Blue

e.g. 1

e.g. 14.95

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plus 7.75% sales tax (CA residents only)

 

Plus $2 Per Item for Shipping & Handling

 

Plus an additional $10 to have items shipped by Federal Express

 

Total

 

 

For more items, please print and include a second form.

 

Customer Information

 

*First Name ________________________

*Last Name ________________________

Company     ________________________

*Email         ________________________

Phone          _________________________

 

Credit Card Information

 

*Card Type  ________________________

*Cardholder’s Name As Shown On Card  ___________________________________

*Card Number ______________________

*Expiration Date (mmyy)  ____ / ____

*3 Digit Security Code   _______________

 

*Required fields.

Billing Address

 

*Address Line 1  ______________________

*City  _______________________________

*State/Province _______________________

*Country _____________________________

*Zip/Postal Code ______________________

 

Shipping Address (if different from billing address)

 

Ship To Name __________________________

Address Line 1 __________________________

City __________________________________

State/Province __________________________

Country _______________________________

Zip/Postal Code _________________________

 

 

Thank you for ordering from Dawn Michelle Designs,  If you have any questions, please do not hesitate to contact us by phone at:760-521-2284 or by email at: sales@dawnmichelledesigns.com