TO ORDER: Please print and complete this form. Then mail or fax it to Darco Creations. You may also send the same information via e-mail to: godarco@excite.com.

Darco Creations
Where everything is coming up roses & more!
381 Casa Linda Plaza, Suite 212, Dallas, TX 75218
(214) 342-9675
Fax: (214) 722-0806
Purchaser's Name __________________________________________
Street Address ____________________________ Tel. (__)_________
City_________________________ State ______ Zip ____________
Method of Payment __Check Enclosed __Money Order __MasterCard __Visa
Name as it appears on credit card___________________________________
Credit Card Number_____________________________________
Expiration Date___________/____________
Signature_________________________________
Billng Address (required for cc authorization):
Name __________________________________________
Street Address ____________________________ Tel. (__)_________
City_________________________ State ______ Zip ____________
Ship to ___________________________________________________
Street_____________________________________________________
City____________________________ State______ Zip___________

Quantity Item/Color Unit Price Total
























Total Price of Items Ordered $_______________
shipping charges $_______________
Total Amount $_______________

___Check here if you would like a gift enclosure card included
Message on card to read:

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