| Purchase Jim Hlavac's Creations |
| 1. Print this page out ... |
| 2. Fill in the blanks ... |
| 3. Mail the completed form to ... |
| Order Form |
| Today's Date ____________________ |
| Music CD's |
| # ______ of copies @ $20 each = ____________________ |
| # ____ of copies at $15 each if more than 10 copies = ___________________ |
| Mazes |
| Bulk Paks of Mazes |
| 6 Paks of Mazes |
| Christmas |
| New York |
| New Orleans |
| # ____ of 6-paks @ $7 each = ____________ |
| # ____ of 6-paks @ $7 each = ____________ |
| # ____ of 6-paks @ $7 each = ____________ |
| $5 each if more than any TEN 6-paks |
| $10 for 25 |
| $15 for 50 |
| $25 for 100 |
| Circle a theme: |
| Greeting Cards |
| Box of 10 Christmas Cards |
| Box of 25 Christmas Cards |
| Box of 10 Maze Cards |
| Box of 25 Maze Cards |
| # _____ of boxes at $25 each = ___________ |
| # _____ of boxes at $35 each = ___________ |
| # _____ of boxes at $25 each = ___________ |
| # _____ of boxes at $35 each = ___________ |
| Total = ___________________ |
| Total = ___________________ |
| Geometric |
| Curvaceous |
| Pictorial |
| Mixed |
| Circle a quantity: |
| Holiday |
| $40 for 250 |
| Grand Total = _______________________ |
| Mail to: Jim Hlavac 3823 Dauphine Street New Orleans LA 70117 |
| You want it shipped where? |
| Name ______________________________________ |
| Please use block print for legibility. Thanks. |
| Street / PO Box ______________________________________ |
| Apt/Suite _____ |
| City ______________________________________ |
| State _____ Zip ________________ |
| Email ______________________________________ |
| Please Enclose you Money Order or Check, payable to Jim Hlavac. Thanks. |
| Jim Hlavac 3823 Dauphine Street New Orleans LA 70117 |
| Title: Amazing |
| Total = ___________________ |
| All Prices include Shipping by USPS Priority Mail in the USA |
| Please allow 7 - 10 days for shipping |
| Envelopes included |
| more titles coming soon! |