Personalized 6" Ceramic Wall Tile Order Form

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blue edge, star corners, yellow angel
 
lavender edge, rosebud corners,
pink Noah's arc
pink edge, rosebud corners,
pink rosebud cross

We will be closed May 15, 2012 to June 6, 2012
We are accepting all orders during this time but are unable to process your order until after June 6, 2012
Sorry for any inconvenience this may cause.

6" personalized ceramic wall tile only $29.99
these tiles have holes drilled into the top and include twine/cord for hanging on the wall

Please fill out one form for each Ceramic Wall Tile.
If you order more than one Ceramic Wall Tile going to the same address, they will will be shipped together and your shipping costs will be adjusted.

Use your browsers back arrows to switch between Ceramic Wall Tile pictures and this order form.

  Outside edge Color
  Corner design
  Center painting
  Writing on cross leave blank if no writing is required
  Writing on top

 

 Writing on bottom
  Special requests or comments let me know if you prefer not to have the cross on the Noah's Arc, Angel or Teddy
   

May I suggest the following items:
  Gift wrapping $2.99
  Gift card $3.99 Name on front of gift card leave blank if you do not want a card
  Personal greeting for inside your card leave blank if you do not want a card
       
    Shipping and Billing Information:  
       
    Usually ships 3 to 5 business days after you place your order.  
  Select shipping method Depending on Zip Code  
       
    Ship to Address:  
  Name  
  Address  
  Business/Apt  
  City  
  State 7.75% sales tax added to orders shipped to California  
  Zip/Postal code  
  Country  
       
    Billing Address - must match Credit Card  
    click here if same as shipping address  
  Name  
  Address  
  Business/Apt  
  City  
  State  
  Zip/Postal code  
  Country  
     
    Your Information:
   

So I can email your Order Confirmation and total cost
  Your name
  Your Telephone
  Your Email
     
Personal check mailed & made payable to:
 Noeleen Webster
15631 Fallen Oak Lane
Chino Hills,  CA  91709
    Payment Information:
  Payment Type
  Credit Card No
  Expiration date
  Security code - 3 digits on back of card 4 digits on front of AMEX

Would you like to join my mailing list   to receive special offers!! - If you have a discount code please enter it here

Please make sure all the details and spelling are correct before submitting your order.
I will email a confirmation with the total cost to the email address you have provided on this form.

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