Sunflower Decor – Order Form
1801 3rd St.
Clay Center, KS  67432
Phone: (785) 632-5804
E-mail: sheila@sunflowerdecor.com

Please print this purchase order and fill in the information. Please e-mail or call us with Questions.
Mail Form to address above (phone orders accepted).


Name
 
Address
 
Ship To Address
 
E-Mail Address
 
Phone Number
 

ITEM #
ITEM NAME
UNIT PRICE
QUANTITY
TOTAL
( Price X Quantity )
         
         
         
         
         
         
         
         
         
         

ITEM PERSONALIZATION INFORMATION ( For Personalized Items Only )
ITEM #
(Use A,B,C, etc. for Multiple Items of Same ITEM #)
INFORMATION
   
   
   

SHIPPING & HANDLING CHARGES
if TOTAL ORDER = $0.01 - $5.99: Add $1.99
if TOTAL ORDER = $6.00 - $9.99: Add $3.99
if TOTAL ORDER = $10.00 - $29.99: Add $5.99
if TOTAL ORDER = $30.00 - $39.99: Add $7.99
if TOTAL ORDER = $40.00 and over: Add $9.99
*International orders MUST CALL or EMAIL for instructions before ordering.
SUB TOTAL
Kansas Residents Add 5.3% SALES TAX
( AFTER SALES TAX ) TOTAL
SHIPPING & HANDLING
( AFTER SHIPPING & HANDLING ) TOTAL
METHOD OF PAYMENT (Check / Money Order)
 
 
 
 
 
 
THANK YOU
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