Sylvias Casita Mexico Imports

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SEND MY GIFTS TO:
1.	Ship to: _______________________________________ Phone: _______________ Street: ________________________________________ Apt.:__________________ City: ______________________________ State: _______________ Zip: _________
Item No.	Name of Item	Quantity	Price	Total


Ship To Arrive: [ ] Halloween [ ] Thanksgiving [ ] Hanukkah [ ] Christmas [ ] When available [ ] Week of __/__/__
Message:
2.	Ship to: _______________________________________ Phone: _______________ Street: ________________________________________ Apt.:__________________ City: ______________________________ State: _______________ Zip: _________
Item No.	Name of Item	Quantity	Price	Total


Ship To Arrive: [ ] Halloween [ ] Thanksgiving [ ] Hanukkah [ ] Christmas [ ] When available [ ] Week of __/__/__
Message:
3.	Ship to: _______________________________________ Phone: _______________ Street: ________________________________________ Apt.:__________________ City: ______________________________ State: _______________ Zip: _________
Item No.	Name of Item	Quantity	Price	Total


Ship To Arrive: [ ] Halloween [ ] Thanksgiving [ ] Hanukkah [ ] Christmas [ ] When available [ ] Week of __/__/__
Message:
4.	Ship to: _______________________________________ Phone: _______________ Street: ________________________________________ Apt.:__________________ City: ______________________________ State: _______________ Zip: _________
Item No.	Name of Item	Quantity	Price	Total


Ship To Arrive: [ ] Halloween [ ] Thanksgiving [ ] Hanukkah [ ] Christmas [ ] When available [ ] Week of __/__/__
Message:

MY SHIPPING ADDRESS IS:

Ship to: _______________________________________ Phone: _______________
Street: ________________________________________ Apt.:__________________
City: ______________________________ State: _______________ Zip: _________

SEND TO ME AT THE ADDRESS SHOWN ABOVE

Item No. Name of Item Quantity Price Total

Ship To Arrive: [ ] Halloween [ ] Thanksgiving [ ] Hanukkah [ ] Christmas [ ] When available [ ] Week of __/__/__

Message:

Which card will you be using: [ ] [ ] [ ]
Credit Card # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Exp. Date __ __ / __ __
Signature: __________________________________________________

Please give us your daytime phone number and e-mail address in case we need to contact you about your order.
E-mail address: _______________________________________
Daytime phone number: _________________________________

If paying by check, please complete this section below:

MERCHANDISE TOTAL:

Add standard delivery charge:

Additional Express delivery charges:

Foreign deliveries: Add 30% of the merchandise total (plus the standard delivery charge):

Add applicable sales taxes:

TOTAL AMOUNT:

MY SHIPPING ADDRESS IS:
Ship to: _______________________________________ Phone: _______________ Street: ________________________________________ Apt.:__________________ City: ______________________________ State: _______________ Zip: _________
SEND TO ME AT THE ADDRESS SHOWN ABOVE
Item No.	Name of Item	Quantity	Price	Total



Ship To Arrive: [ ] Halloween [ ] Thanksgiving [ ] Hanukkah [ ] Christmas [ ] When available [ ] Week of __/__/__
Message:
Which card will you be using: [ ] [ ] [ ] Credit Card # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Exp. Date __ __ / __ __ Signature: __________________________________________________
Please give us your daytime phone number and e-mail address in case we need to contact you about your order. E-mail address: _______________________________________ Daytime phone number: _________________________________

If paying by check, please complete this section below:
MERCHANDISE TOTAL:
Add standard delivery charge:
Additional Express delivery charges:
Foreign deliveries: Add 30% of the merchandise total (plus the standard delivery charge):
Add applicable sales taxes:
TOTAL AMOUNT: