Mail Order Form
Name___________________________________________
Address_________________________________________
City___________________________________________
State______________________      Zip______________
Phone_________- ________-_____________
Email___________________________________________
Item # Quantity Description $ Each $ Total
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
Sub-Total  
State Sales Tax (Indiana Residents add 6% of Sub-total)  
Order Total (shipping is included in prices)  
Make check payable to Mamie Harris and include with this order.
Mail to:
Mamie Harris
P.O. Box 624
Elkhart, IN 46514
Color Options where applicable:
Hair color__________________________________________
Skin color__________________________________________
Eye color__________________________________________