On-Line Order Form


Full Name:    


Address 1:    


Address 2:    

City:          State:  Zip Code: 

Phone Number:

Wisconsin Residents Must Include 5 1/2% Sales tax to Price. (before shipping)

Please indicate in the quantity box the number of items you wish to order.

Quantity	Price	Description
	$45.00 + 7.95 s/h	Oak Shelf
	$45.00 + 7.95 s/h	Kitchen Wrap Dispenser
	$12.00 + 4.95 s/h	2 Peg Mini Shelf
	$13.00 + 4.95 s/h	3 Peg Mini Shelf
	$14.00 + 4.95 s/h	4 Page Mini Shelf
	$15.00 + 4.95 s/h	5 Peg Mini Shelf
	$42.00 + 7.95 s/h	Slot Letter Holder
	$10.00 + 4.95 s/h	Match Box Holder
	$15.00 + 4.95 s/h	Plant Hanger, 14" arm
	$17.00 + 4.95 s/h	Plant Hanger, 16" arm
	$65.00 + 10.25 s/h	Lazy Susan
	$35.00 + 6.95 s/h	Washing Machine
	$45.00 + 7.95 s/h	Sleigh
	$35.00 + 6.95 s/h	Letter Caddy
	$45.00 + 7.95 s/h	Garden Cart
	$2.00	Brochure

Billing Information

I would like to pay by:
Sending a money order (please see below for address)
Please bill my credit card (fill out following information please)

Name as it appears on card:    


Credit Card Number:            

Experation Date:

Credit Card Type:
Visa Master Card

You may also order by sending inquires and product info to:
Avalo Designs
934 S. Marquette Rd.
Praire du Chien, WI 53821 U.S.A.
OR Phone your order at: (608) 326-5410

Thank you for your order!

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