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Mail and Fax Order Form:
Robin Clayton Designs International
763 Bluebird Lane
Bailey, CO  80421
email:info@robinclaytondesigns.com
 For Info Call:
303-816-1075 Phone
303-816-1076 Fax
1-800-644-0504 Code 00
9-5 Mon. - Fri. Mountain Time
NAME AND DATE OF ORDER:
Quantity
Item # and description
Color
Size
Amount ($US)
Total
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Sub-Total
 
 
 
Colorado Residents Add 3.9% Sales Tax
 
 
 
Shipping & Handling Charges    (Check Shipping Rates)
 
 
 
TOTAL
 
 

Comments and Special Instructions:

 
Method of Payment:
Check or Money Order #
Please make check payable to:  
Robin Clayton Designs
Credit Card Payment - (Please circle one)
Visa
MasterCard
Discover
 
Credit Card Number:
Exp. date:
3-digit bank code from back:
Signature:
Daytime Phone :
Other Phone:
Shipping Address:

Billing Address (if different from Shipping Address)

 
Email Address:
How did you hear about us/referred by:
Thank You for your Order !!