SeraFina1973 Order Form
Name
S&P - Flat Fee
First item -  $4
For each additional
item - add $1.00
Address
Address
City
State
Insurance coverage is not included in the shipping prices, but can be provided
if requested.  Prices based
on order sub-total.
Zip Code
Home Phone
Work Phone
eMail Address
Item# Quantity Brief Description Unit Price Total
1.
2.
3.
4.
5.
6.
7.
8.
Sub-total
Do you wish to
be added to
our mailing list*?
CA Sales Tax (8.25%)
Shipping
Yes No
Insurance (optional)
Total
For ease of shopping, it is best to print out this form first and then fill in
the information as you browse.  Then just mail it along with your payment.

Please make payment out to: Michelle Karch
Payments may be made by personal check or money order.
Check orders will not be shipped until your check clears.
SeraFina1973
3805 W. 186th Street
Torrance, CA  90504
Mail Payment To:
eMail Home
*My mailing list exists for the purpose of in-house use only.  Once in a while I mail out discount offers and show
schedules to those who choose to be on the mailing list.  No information is, has, or will ever be sold or shared.