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To Order by Credit Card - VISA & MasterCard Pay by Check
Fill out form below and SUBMIT Form Make check out to: Pam Gonzales
To Order by Check Mail to:
Fill out form below
Then PRINT
Then SUBMIT Form		 Pam Gonzales
6623 Waldorf Court
New Port Richey, 34655

One Board per Order Form - For Multiple Board Orders, Submit & Then Return to Order Form

Contact Info

Your Name E-Mail Address
Address 1 Phone Number
Address 2
City 
State
Zip Code

Build Your Board

Two Color Board  
(detailing)
2 Ft. Tall - $75 
Base (1) Color Choice
Detailing (1) Color Choice
Choose Pose
Extras
Hand Painted Name(Free)
Type in Name
Rhinestone Letters (add $10) 
Extra Rhinestones Stars (add $5) 

 

USA Theme  
USA Theme is
Red/White/Blue/Grey
2 Ft. Tall - $85 
Choose Pose
Extras
Hand Painted Name(Free)
Type in Name
Rhinestone Letters (add $10) 
Extra Rhinestones Stars(add $5) 

Payment Info - VISA & MasterCard Only


Name on Credit Card
Card Number
Credit Card Expiration Date
Billing Address of Card
Billing City / State / Zip Code
Billing Phone Number
Enter  Code: showoff

NOTE:

Delivery time 4 to 6 weeks upon receipt of payment.
Large order and peak seasons order may add additional time.

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