Kitty Gorrell Enterprises
279 Beech Run Road
Friendly, WV 26146 -- Kitty@kittygorrell.com
304-684-7975
Please mail order form with payment if you choose not to use the shopping cart .
Name ______________________________________________ |
Date__________________________ |
Street Address________________________________________________________________________ |
|
City/State/Zip__________________________________________ |
Country________________________ |
E-Mail______________________________________________ |
Phone /Fax:_____________________ |
All prices given and payments accepted are in US funds. |
|||
Quantity |
Item Description |
Unit Price |
Total |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
West Virginia residence please add 6% sales tax |
Tax |
|
__ MasterCard __ Visa __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ |
Sub Total |
|
|
Three digit security number from back of card _________ Expiration Date _____ - _____ Name on card (please print clearly) _________________________________________ Sign Here ____________________________________________________________ |
Shipping |
|
|
Grand Total Enclosed |
|
||
Prices are subject to change without notice
Thank you for your order!
Back to KittyGorrell.com home page