Name:  Street Address: City State Zip , Your e-mail address: Phone: ( ) -

Item # Quantity Price Each Item Description Total $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Total Items: Sub-Total $ Shipping (see shipping chart below) $ Total $

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Shipping Chart: $0.01 - $29.99 $4.00 $30.00 - $59.99 $8.00 $60.00 - $79.99 $10.00 $80.00 - $99.99 $11.00 $100 + Free Shipping

Thank you for visiting my site and placing an order with Tea Faerie Creations.

Mail your completed order form and check or money order for the total amount (including shipping) (checks must clear before I will ship the order) to: Chrissy Sherrill Tea Faerie Creations 6359 Sherwood Lane Denver, NC 28037