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