Donna's Place - Order Form

Phone: 1-800-574-8714 | FAX: 1-208-392-6660 | Email: dplac2@juno.com
Postal Mail: Donna's Place - PO Box 510 - Idaho City, Id. 83631-0510

We Accept... Visa MasterCard Discover American Express

RUSH MY ORDER TO:
Name: ___________________________________________________
Address: _________________________________________________
City: _____________________________________ State: _________________ Zip: _______
Daytime phone: _(_____)_________________ Evening phone: _(_____)_________________
E-Mail: __________________________________________________

ITEM # DESCRIPTION QTY PRICE TOTAL
         
         
         
         
         
         
         
         
         
         
Please RUSH my order. I am paying by the following method:

 [   ] Check - payable to Donna's Place (U.S.A. only)

 [   ] Credit Card
       (circle one) VISA - MC - Discover- AMEX

 Name on credit card: ___________________________________________
 Credit card number: ______________________________________ Exp. Date: ___/_______
 Security Code: ________ (3-digit VISA, MC, Discover; 4-digit AMEX)
 Signature of Card Holder______________________________________________________

 *** SHIPPING RATES $10.00 flat rate with exceptions listed below.
   We use U.P.S. or U.S. Postal Service.
   (Please ask for shipping price on "Specials" if not noted on the website.)
 *** Orders of more than one item add $2.00
 *** All orders outside the USA, please FAX or email for shipping charges
Subtotal  
Id Res. Add 6%  
Shipping***  
Total Enclosed