NOTE:  REQUIRED FIELDS ARE IN BOLD & ITALIC.

BILL TO:          

Note: WE ARE UNABLE TO SHIP TO P.O.BOXES.
NAME:
Address:
CITY:
STATE:
ZIP:
Country:
PHONE:
Fax:
EMAIL:
SHIP TO:  Check if Same As Billing    
Check if Gift Card is Needed
Comments on Gift Card (10 words or Less):
NAME:
Address:
CITY:
STATE:
ZIP:
Country:
PHONE:
Fax:
EMAIL:

 SHIPPING  &  PAYMENT :
Shipping Options per Address:
Payment Type:
Card Number:
Expiration Date:

 ORDER  for  WILDFLOWERS  PRINTS &  FRAMES
Name of Specie(s)
Item(s) #
Price
Number of Items
TOTAL

 ORDER  for  TREE PRINTS & FRAMES
Name of Specie(s)
Item(s) #
Price
Number of Items
TOTAL

 ORDER  for  CROSSES & WOODEN JEWELRY  
Name of Item(s)
Item(s) #
Price
Number of Items
TOTAL

 ORDER  for  NOTECARDS & T-SHIRTS  
Name of Item(s)
Size, Color, Style, Item#
Price
Number of Items
TOTAL

 SPECIAL ORDERS for FRAMES, ETC. 
Name of Item(s)
Item(s) #
Price
Number of Items
TOTAL

THANKS  FOR  ORDERING ONLINE ! 
SHIPPING :
Texas Residents - Sales Tax 8.25%:
FINAL TOTAL:
Please send e-mail to Bruce Lyndon Cunningham
at brucelc@suddenlink.net

936.569.6965		  

  COMMENTS:

 

BRUCE LYNDON CUNNINGHAM

   180 County Road 8201     Nacogdoches, TX 75964