SOCIALLY RESPONSIBLE PRODUCTS - ORDER FORM 

Product Information

Category

 Item Name & Description Item Code Price Quantity Total
Example: Books, Tapes The Feelings Storybook TFS $9.95  -- -- 
            
           
            
            
           
            
            
           
           
           
Shipping Charges:
$5.01 to $10 = $4.00
$10.01 to $20.00 = $6.00
$20.01 to $30.00 = $9.00
$30.01 to $80.00 = $11.00
$80.01 to $100.00 = $12.00
Over $100.00 = $15.00		       Subtotal   
      * S & H    
      Total Cost    

* If you are interested in a package that includes a carpet, call or email Shelley to get a quote for shipment.
  We will provide you a shipping quote prior to actually filling your order, which you must approve in advance
  before it will be shipped.   Shipping & Handling to be determined (TBD) based on shipping location. 

Shipping / Payment Information (Required)

First Name

Last Name

Address

City

State / Providence

Postal Code

Daytime Phone

Evening Phone

Method of Payment

Amount of Payment

* Private information will not to be sold nor used for purposes other than for confirmation of this transaction.

Print out, fill out completely and mail this order form with your check or money order to:

Shelley Pieper-Reynolds (R.O.S.E.)
ABC Feelings Products Processing Center
PO Box 32
Cottage Grove, MN 55016

Upon receipt of payment, your order will be shipped.   Allow 1 – 2 weeks for delivery.

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