Order  Form                                                    Please use browser to print the page    
Cooper-Stratton Designs
8225 Birch Street,      New Orleans, LA 70118
504-861-2170 (tel)      504-866-7696 (fax)       cathy.csd@earthlink.net
Item#
Description/special instructions/color
Price
Quantity
Extension
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Order total =
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Sales tax (Louisiana residents only add 5%, Orleans  Parish add  9%)
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Shipping, 1st item, enter highest shipping charge of items you are ordering using this schedule:  Jewelry & Ornaments   $8.50    
Tiaras, Scepters or Napkin Rings   $10.50
Small Baskets $15.00
Large Baskets or Lamps   $25.00   
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Add $1.00 for each additional item to be shipped
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Shipping total
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Payment total = Order Total + Tax + Shipping Total
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Method of payment (circle):        
Check            Visa            Mastercard        Amex

Card #: ___________________________________ Exp: ____/_____

Signature:__________________________  Phone #:_____________
please print the following:
Name:__________________________________________________
Billing Address:___________________________________________

City:___________________________St:_______ Zip:____________

E-mail:_________________________________________________

Ship to:      (Leave blank if same as above)

Name:_________________________________________________
Address:_______________________________________________
City:____________________________St:_______ Zip:___________


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