Printable Mail Order Form - Sacred Earth Designs
Please print this form, complete, then mail with your payment. If you are in doubt about availability, please call or email us first.

Date___________________

Name__________________________________________________

Address________________________________________________

City/State/Zip____________________________________________

Phone ___________________________

Email (we will email you when your order is shipped)_________________________________

Qty Item Color Unit Price Total
         
         
         
         
         
         
         

Domestic Shipping-0 -$30, $2, $31- $49 - $4, $50-$100 - $5, Over $100 - $7
Call or email for other shipping options or for outside the USA>

 
Colorado Residents add 2.9% sales tax.  
Total  

Method of Payment _____Visa ____ Mastercard ____Check ____Money Order

Card Number_____________________________Exp Date________________

Name and address on Card (if different from above)

_________________________________________________________________________

How did you hear about us?_____________________________________________

If this is a gift, please include gift receipent's name, address and message.

Mail To: Sacred Earth Designs
PO Box 87, Howard Colorado 81233
Phone: 719-207-3644