Printable order form

Ship to-

Name
Street address
City
State
Zip

Description (include item "order number"and web page number item is listed on)	Quantity	Price each	Total price

Subtotal
Tax (Indiana residents)
Shipping and handling ($5.00 U.S., $10.00 foreign).
Total

Mastercard or Visa number -
Expiration date -

Make checks payable to -	" Kelli Design Group"
Mail to -	Kelli Design Group 6825 Meadowgreen Drive Indianapolis, IN 46236 USA