Please Print form and Mail or Fax to:

Dorothy Bells Gift Shopp
13295 Coleman Rd
Kewadin, MI 49648

Fax  707 313-2935

FAX - MAIL ORDER FORM

Please PRINT In CAPITAL LETTERS

Please process my order for the items requested.
I am paying for this merchandise by:

MasterCard__ Visa__ Discover__
Money Order__ Cashiers Check__

Card Number _____________________________________

Exp Date _________ Signature_______________________

Comment ________________________________________

________________________________________________

Email Address ____________________________________
(Used for info regarding your order only)

Shipping Address:

Name_____________________________________________

Company__________________________________________

Address __________________________________________

City/State/Zip ______________________________________

Daytime Phone _____________________________________

 Credit Card Billing Address (If different than above):

Name on Card______________________________________

Address__________________________________________

City/State/Zip ______________________________________

Daytime Phone _____________________________________

If your order is:
$01.00 to $39.99
$40.00 to $59.99

$60.00 to $79.99

$80.00 to $99.99
$100.00 to $119.99
$120.00 to $139.99
$140.00 to $159.99
$160.00 to $179.99
$180.00to $199.99
200.00 UP CALL FOR QUOTE

Shipping:
add $7.50
add $9.00

add $11.00
add $12.50
add $15.00
add $19.00
add $22.00
add $25.00
add $28.00
 

Residents of Alaska, Hawaii, Puerto Rico, Guam, and Virgin Islands, please contact us for  shipping rates and information.

Status of an Order / Customer Service
Email: mailto:gifts98@aol.com  phone 231 313 2930