Order Form

 

Love Heidi

P.O. Box 53

Glenford, NY 12433

P: (845) 417-3067

Email: heidisheasby@hotmail.com

       Fill out this form within the Microsoft Word. Simply click on the fields you wish to fill out. Then print this form and mail it back to me.

 

       You can also print the form and fill it out using a pen. Then simply mail it back to me.

 

Name

 

Daytime PHONE NUMBER

Shipping Address

Billing Address

Street

 

Street

 

City

 

City

 

State

 

ZIP

 

State

 

ZIP

 

Shipping Method

q FedEx Ground q Priority Mail q 2nd Day Air

 

Item #

Description

Size

Qty

Price

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Subtotal

 

 

Shipping & Handling

 

 

Total

 

Shipping & Handling Table

order total

FedEx

Ground

Priority

Mail

2nd

Day Air

 

 

 

 

$0.01 - $20.00

$8.95

$11.00

$19.95

$20.01 - $40.00

$10.95

$16.50

$19.95

$40.01 - $50.00

$12.95

$19.10

$25.00

$50.01 - $100.00

$15.95

$21.70

$35.00

$100.01 - $200.00

$18.95

 

$200.01 - $300.00

$21.95

 

 

 

 

 

 

 

 

 

 

­­­­Visit us on the web at www.loveheidi.com