Please print out this form, fill it out, and enclose it, with your payment, to:
Cosmosmith Creations
8111 E. Wardlow Road, Suite 137
Long Beach, CA 90808
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NOTECARDS
QTY CARD DESIGN TOTAL
_____ Flower Note Cards (set of 12) @ $ 12.00 ea $ ______
_____ Animal Note Cards (set of 12) @ $ 12.00 ea $ ______
T-SHIRTS
QTY SHIRT DESIGN COLOR SIZE TOTAL
____@ $15 ea ______________ white/black/natural S M L XL XXL $______
____@ $15 ea ______________ white/black/natural S M L XL XXL $______
____@ $15 ea ______________ white/black/natural S M L XL XXL $______
____@ $15 ea ______________ white/black/natural S M L XL XXL $______
____@ $15 ea ______________ white/black/natural S M L XL XXL $______
____@ $15 ea ______________ white/black/natural S M L XL XXL $______
TOTAL AMOUNT OF ORDER $______
Name: ________________________________
Address: ________________________________
City: ________________________________
State: ___________ Zip: _____________
Phone: ________________________________
Email: ________________________________
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