Order Form
Name:                                                                                                                                  

Address:                                                                                                                             

City:                                                            State:                                    Zip:                         

Phone:                                                                                 

e-mail:                                                                 
Item #        Description               Quantity                 size (if needed)                                Total

                                                                                                                                                                

                                                                                                                                                               

                                                                                                                                                               

                                                                                                                                                               

                                                                                                                                                               

Please add 5.5% tax for orders being shipped withing Wisconsin                                                 Sales Tax

Shipping  within the United State see chart below                                                                                Shipping

                                                                                                                                                                         Total

Pay Method
        Check enclosed (make payable to: Silver Lining Studio)
        Credit Card:  Master Card, Visa, or Discover accepted

Credit Card #                                                                                                                                          

Expiration Date                                                   

Name as it appears on card:                                                                                                                 

Billing address if different than above:
Address:                                                                                                                                                         

City:                                                            State:                                           Zip:                                         

Shipping address of different than above                                 Is this a gift?                 
Name:                                                                                                                                                             

Address:                                                                                                                                                         

City:                                                    State:                                                            Zip:                                   

Mail to:
Nancy Mustapich

S8551 Balfanz Rd

North Freedom, WI 53951

 

Shipping and insurance charges

Order total                     Priority mail
Up to $50.00                           $4.95
$50.01 to $80.00            
        $6.95
$80.01 to $110.00          
        $8.95
$110.01 to $140.00        
        $10.95
$140.01 to $170.00        
        $12.95
$170.01 and up              
        $14.9