Print-able Order form

PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO: Wildash Works 1431 41st Place Des Moines, Iowa United States 50311 Phone #: 515-274-9212 Fax #: 515-274-9212 Email: JWildash9212@msn.com
Circle Payment Method: Check Money Order VISA MasterCard
Print Name:
Address:	Email:
City:	Credit Card Number:
State & Zip:	Expires:
Telephone:	Signature:_____________________

Item Name and Description	Quantity	Price














Subtotal:
Shipping and Handling:
Iowa residents must add 6.00% sales tax-
MAKE CHECKS PAYABLE TO: June Wildash	Total :

Thank you for shopping at Wildash Works.