DIVINITY
order form
Print out this form and mail it with your payment to:
D.E. Designs
515 Manhattan Drive #203
Boulder, CO 80303 USA
QUANTITY STYLE# SIZE DESCRIPTION, PRICE/EACH TOTAL
INCL. COLOR(S)
________ _____________ ________ __________________ ___________ ___________
________ _____________ ________ __________________ ___________ ___________
________ _____________ ________ __________________ ___________ ___________
________ _____________ ________ __________________ ___________ ___________
Subtotal: ___________
Shipping/Handling: ____$5.00__
Insurance (optional, U.S. only): ___________
Canada, Alaska, Hawaii, Mexico and APO orders add: ____$3.00__
Everywhere else (outside of US) add: ____$7.00__
Colorado residents please add 3% tax: ___________
Total: ___________
Address Information:
Name: _____________________________________
Street: _____________________________________
City: ___________________ State/Province: ________ Zip/Post Code: ____________
Country: ___________________
Email: ________________________
Phone: _____________________
Height: ____________
How/Where/From Whom did you hear about Divinity Designs?
[ ] print magazine ad
[ ] web banner ad
[ ] word of mouth
[ ] search engine/web directory (ie. darkside of the web)
[ ] link from a personal webpage
[ ] other: (specify) ________________________