Note Card Order Form - Virginia Lloyd-Davies
July 22. 1999


Title
 Price
Quantity
        Total 
Cat & Rabbit Mix - (3 color cards each)   8.00 . $
Spring Iris - (6 color cards)   8.00 . $
Dancing Brush - (6 color cards)   9.00 . $
Sub Total
$
VA residents add
4.5% sales tax
$
Shipping - $2.00 first pack
$1.00 each addl.
$
Total
$

Include your name, address and phone number in the space above.

Circle one     Visa      MC

Credit Card #                                                                    .

Expiration Date  (00/00)           /         .

Zip Code (the one which matches the billing address of the card) ___________.

Signature                                                                              .

Please print out this form and mail or fax this page with credit card information or mail with a check made out to:

Virginia Lloyd-Davies, 366 Mackeys Lane, Fairfield, VA 24435

fax: 540-261-1935

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