Customer Name _______________________________________________________________
Address______________________________________________________________________
City _________________________________ State ________________ Zip _______________
Phone _____________________________ Alternate Number ___________________________
Email ___________________________________ Referred by __________________________
| | Category | Size/ Color | Quantity | Description/Special Instructions | Price per item | Total Price |
| 1 | | | | | | |
| 2 | | | | | | |
| 3 | | | | | | |
| 4 | | | | | | |
| 5 | | | | | | |
Subtotal | $ |
Shipping and Handling* | $ |
Tax (based on where you live) | $ |
Grand Total | $ |
*Scrapbook Totals Shipping and Handling Costs
$10-$50 $5
$50-$75 $7
$76-$115 $8
$116-$155 $10
$156-$200 $15
Shipping Costs are based on the weight of the scrapbooks, which are usually somewhat heavy.
Additional comments ____________________________________________________________ _____________________________________________________________________________
_____________________________________________________________________________
Customer Signature ____________________________ (Online, Please type your name)
Payment Method
**Note: Design of your Scrapbook(s) will begin once payment is received and verified.
Additional Information (write yes or no)
Please add me to the email list serve to receive updates about special offers & discounts. __________
Please contact me about booking a party. _________
Please add me to the birthday list to receive special discounts during the month of
my birthday. Birthday Month ______________