Order Form

Please use a separate line for each distinct (same code/size/color) item. (Ordering more than five items? Add a note to the comment box below to tell us to combine today's orders and make one shipment to you. After you complete and send this form, just continue your order on another form). If you prefer to avoid all the calculations, just fill in the item information and your address information, and we will complete your order with current prices and contact you with a confirmation and an Order Total.

Two Lips Originals ORDER FORM

	Itemcode	Size	Color	Quan	Unit Price	TOTAL
	1.
	2.
	3.
	4.
	5.
All items Subtotal
Sales Tax for Residents of Washington State: Add 8.0%
Shipping and handling add $6.00
ORDER TOTAL

ADDRESS INFO		SHIP TO: (If different from Address Info, No PO Boxes)
	Full Name
	Street and Apt.#
	City, State, Zip
	Phone
	Email

CREDIT CARD INFO		YOUR COMMENTS
Name
Number
Expires MM/YY Type You can enter your credit card information if you feel comfortable leaving it, at your own risk, on an unsecured server. Or....leave the credit card information blank and we will call you to confirm your order and get payment information.

Please make checks or money orders payable to: "Two Lips Originals LLC"

All checking & credit card accounts must be drawn from US banks in US funds.
Please allow up to six weeks for manufacture and delivery.
Prices subject to change without notice.

You can also order by fax or regular postal mail, just print out this form
with your order information filled in.

Fax to: 360-466-0113 OR
Send postal mail to:
Two Lips Originals, 300 Nisqually, La Conner, WA 98237

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