Timberline Album

Timberline Order Form

Field of Daisies, Inc.
11605 W. 73rd Avenue
Arvada, CO 80005 

Order Online

Ordered by: Ship To:
         
       
Phone:    

CD  $19.95        TAPE  $9.95

 

Qty

Total

Timberline.GIF (1407 bytes)

CD     TAPE

  $

SUBTOTAL 

$

Colorado Residents Add 2.9% Sales Tax 

$
Shipping and Handling ($2.50 for the first item; $1.00 for each additional item)  $
TOTAL REMITTED  $


Print the order form, fill out completely and mail to the address above.
Make check or money order out to Field of Daisies, Inc. or
fill in the credit card information (Visa or MasterCard only) below:

Credit Card Number: ___________________________  Expiration Date: _______

Signature: ________________________________________

 

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