Name:_________________________________________
Address:______________________________________
______________________________________________
City:_________________________________________
State:__________________ Zip code or postal code:______________
Country:______________________________________
Phone:_______________________________ (in case of questions about your order)
E-mail address: ___________________________________________
QUANTITY DESCRIPTION . PRICE. TOTAL
________ Send any amount $ _________ .. $________
Describe type of payment
_____________________________________________________________
_____________________________________________________________
Mail the form with your check or money order to:
Rainbows & Miracles, etc.
Address: No US mail address at present, we are in the process of moving
from Washington to California .....
This page is http://www.itstime.com/orders.htm
Page updated: January 26, 2011