ORDER FORM FOR TOPSTHECAKE.COM
Lynn & Barton Gifts * 4 Shadow Drive * Texarkana, Texas  75501-9520 * Phone and Fax:  903-223-9143

MAKE SURE YOU PRINT CLEARLY AND USE A DARK PEN IF FAXING.

Available hair colors:  Blonde, Brown, Black, Red and Grey

Item ________________________   Quantity_____    Unit Cost $____________   Bride Hair Color_____________  Groom Hair Color_____________

Item ________________________   Quantity_____    Unit Cost $____________   Bride Hair Color_____________  Groom Hair Color_____________

Item ________________________   Quantity_____    Unit Cost $____________   Bride Hair Color_____________  Groom Hair Color_____________

Choose A Shipping Method
 (    )  US Priority Mail Delivery within one week - $8.95

Sales Tax $                        8.25% for Texas shipments only.  Please note:  Texas tax laws require that sales tax also be charged on shipping fees.

Order Total $_____________     E-mail Address___________________________________________(we will send an email confirmation of your order)

Daytime Phone ______________  -______________  -______________  Evening Phone ______________  -______________  -______________

Billing Information

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Business Name (if applicable)

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Name

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Street Address

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City/State/Zip

 Shipping Information

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Business Name (if applicable)

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Name

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Street Address

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City/State/Zip

Payment Type        [      ] Check         [      ] Money Order          [       ] Visa          [       ] Master Card
Make check or money orders payable to:   Lynn & Barton
Check orders are shipped when checks clear (about 3 business days).  Money orders are shipped when received.

Name as it Appears on Card________________________________________________________

Credit Card Number_________________________________________________________Expiration Date (Month/Year) ________/________                                

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   signature of cardholder

Other Comments or additional shipping instructions:_____________________________________________________________________________________________________________________

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