Generated E-mail Form

Name
Address1
Address2
City, State, Zip
E-mail Address
Phone Number
Method of Payment
Item #1 - Qty
Item #1 - Item Number
Item #1 - Description PLEASE MEASURE YOUR BODY PART AND GIVE SIZE HERE - Please give as many details as possible and note subsititutions and bead choices here. If it's going to be CUSTOM - you have got to tell me what you want. Be specific and make sure I have a phone number to contact you if I have questions.
	Item #1 Price Each	Item #1 Total
Item #2 - Qty
Item #2 - Item Number
Item #2 - Description Please give as many details as possible and note subsititutions and bead choices here.
	Item #2 Price Each	Item #2 Total
Item #3 - Qty
Item #3 - Item Number
Item #3 - Description Please give as many details as possible and note subsititutions and bead choices here.
	Item #3 Price Each	Item #3 Total
Item #4 - Qty
Item #4 - Item Number
Item #4 - Description Please give as many details as possible and note subsititutions and bead choices here.
	Item #4 Price Each	Item #4 Total
Item #5 - Qty
Item #5 - Item Number
Item #5 - Description Please give as many details as possible and note subsititutions and bead choices here.
	Item #5 Price Each	Item #5 Total
Shipping Charges: Please add $2 for every 1-5 items
ORDER TOTAL

Patsy's Hemp Creations 409-724-6314 Order Form