EYEcandy ORDER FORM

Thank you for visiting and shopping at EYEcandy. We are presently exploring Visa and Mastercard with complete shopping cart funtionality. In the interim please print this form from your browser, fill out, then mail your request with check or Money Order to: Patrick Klopich   6523 California Avenue SW   Seattle, WA  98136

ITEM		QTY		UNIT PRICE		TOTAL PRICE
Garden Naked Tee shirt		Black Tee S   M   L   XL   XXL Light Yellow Tee S   M   L   XL   XXL		$18.00		$
Flash Blank Cards		Female only Female and mixed Male Male mix (Pink balls/Blue balls)		$19.25 box of 8
Sunny Seed Drops		Package of 2		$7.00
Lovely Rita *		Lemon-Booberry Rita MargaRita Sun Kiss Rita Plum Lovely Rita		$55.00
TOTAL MERCHANDISE

Shipping and Handling Circle choice   3 Day Domestic 7 Day Ground Domestic Standard Canada Other International   $10.00 $5.00 $20.00 email for info * Due to weight, Rita requires an additional S/H charge of $12.00 each. Rita ships Domestic Ground only. No Canadian or Int'l. SHIPPING/HANDLING SUB TOTAL TOTAL SHIPPING/HANDLING   SUB TOTAL   On deliveries to Washington State only. Add 8.8% Sales Tax on sub total   GRAND TOTAL =

MMMMMMMBill to:		MMMMMMMShip to:   Same as "Bill to" address
Name Address City State   Zip County E-mail Phone Fax		Name Address City State   Zip County Phone		nalt.com/eyecandy
We ship via UPS. Day time phone number required for delivery. All information will be held private and confidential.