| 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__________________________________________ | ||||