Order Form - Butterflies by Terry Laughlin

Item Name	Description	Qty	Unit Price	Amount





	Postage $2.00 (for orders under $25).		Subtotal
	Free Shipping for Orders over $25		Postage
			COD $5.00
			Total

Name
Address
City/State/Zip
Telephone
E-mail

Please Complete Information below if ordering with Check
Driver's License #
State/ Exp. Date

You may use this form to place your order. Fill out and Print and mail your completed order form.

PAYMENT TYPE:
CHECK
TRAVELERS CHECKS
MONEY ORDER
COD (add $5.00)

Please make check or money order payable to "Terry Laughlin". There is a $35 fee for ALL RETURNED Checks. COD Orders, please add $5.00.