Print-Out Order Form For Checks and Money Orders Only.
If You Wish To Use A Credit Card, Please Use The Shopping Cart Button That Is Located Under Every Design.

Lattuca Designs

Name _____________________________________________________________

Address ___________________________________________________________

Phone# _______________________E-mail________________________________

Each chart is $10.00. This includes postage for the U.S., Puerto Rico and Canada.

 

United States, Puerto Rico and Canada orders only.



Please print the name of each chart you want to purchase:

 

 

 

 

 

 

 

 

Number of Charts _______ X $10.00 = ________

Make check or money order out to Carol Beck and mail with this form to:

Carol Beck
P.O. Box 442343
Lawrence, KS. 66044


Thank you for your order!

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