Order Form

Please provide the following ordering information:

QTY	DESCRIPTION                                                       Price  Total
Shipping Total Price	Please add 15% for Shipping and Handling

Comments

Please provide the following contact information:

Name
Work Phone
Home Phone
FAX
E-mail

Please provide the following shipping information:

	SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Please Print this form and mail
it along with your Check or Money Order Payable to Loretta Davis as
Chalora Crafts is my Domain name.

     Mail To: Loretta Davis                           
                            Chalora Crafts               
                            2778 Sherborn Ln.
                            St. Charles MO 63301