$49.95 + $10.00 shipping = $59.95

 Mail Order Form

Please fill out and print the following form and mail to:
Make check or money order out to:
Steven Nelson
4950 Nicely Ct.
Las Cruces, NM 88012

Order Form

                        Please Cirle style:            Sunflower               Kokopelli                   Hibiscus


Name : __________________________________________________________________________

Address: _________________________________________________________________________

City : ________________________________  State : _____________  Zip : ___________________

Phone : ________________________________   e-mail : ___________________________________

Comments: ________________________________________________________________________

__________________________________________________________________________________

___________________________________________________________________________________

Total Cost: $49.95 + $10.00 shipping = $59.95

Thank You for your order.