Order Form

Date:_________________

Customer Name:__________________________________

Mailing Address                                                                Shipping Address
________________________________________ _________________________________________
________________________________________ _________________________________________
________________________________________ _________________________________________
Telephone: _________________________ E-mail:____________________

Description of fur garment or other heirloom enclosed:
___________________________________________________________________________________
___________________________________________________________________________________

For personalized footpads, print below the exact information..  Each footpad maximum of 2 lines. ($20 per bear)
First footpad:____________________________________________________________
                     ____________________________________________________________
Second footpad:_________________________________________________________
                           _________________________________________________________
Item# Size

Description

Color Qty. $Total
           
           
           
           

Amount of deposit enclosed: $ _____________________
Payment Method:    Check  M.OVisa  MasterCard Discover
Cardholder Name:____________________________________
Card Number:________________________________________ Exp. Date:_________________
Signature:___________________________________________
Send to: Like A Doll
Kathy Hutcheson
242 Town Pond Road
Batesburg, South Carolina 29006
  Shop# 803.532.8431

HOME