Totally Treasures - Mail/Fax Order Form

Totally Treasures PO Box 3968 Anaheim, CA 92803-3968 Fax: (714) 772-2874
PURCHASED BY				SHIP TO
Name:				Name:
Address:			Apt:	Address:			Apt:
City:		State:	Zip:	City:		State:	Zip:
Home Phone:
Email Address:
Payment Method: (Circle One)
Check	Money Order		Mastercard	Visa	Discover	American Express
Account #:					Expiration Date:		CVV:
Cardholder Signature:
Quantity	Item No.	Item Description			Color or Size	Price Each	Total










						Subtotal:
California Residents Only, Please Add 7.75%						Sales Tax:
Please refer to the shipping charts on the Shipping page						Shipping:
Grand Total:
THANK YOU FOR YOUR ORDER!