Date___________ Name_____________________ Phone____________________ Address__________________ City_____________________ State_______ Zip__________ NOTE: Specify all order and billing information below. Quantity Code Desc Price S&H Total ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ ____ ______ _________________ _________ _____ ________ Sales Tax (if applicable) ________ TOTAL ________ Do you want to be entered into the Web Sampler Prize Drawings? YES/NO Method of Payment (Please circle) Ck/MO/MC/VISA/Discover Credit Card Number___________________ Exp______ Special Instructions_____________________________________________________ _________________________________________________________________________
Mail or FAX Completed Form to Eva's Creations:
Eva's Creations
2164 State Route 947
Morganfield, KY 42437
502-389-4868
or if you prefer order directly by phone free of charge at:
1-800-566-9323