Wayward Winds Order Form

With continued concern about security on the internet, we are not set up for e-commerce yet.  To place an order, you can fill out this order form -- then print it out and either fax it to us, mail it to us, or use it as a reference when you call in your order.

Quantity

  Name of Person Placing Order

  Items Individual Price

  Total Item Price

Quantity

  Name of Item

  Items Individual Price

  Total Item Price

Quantity

  Name of Item

  Items Individual Price

  Total Item Price
Shipping & handling costs for medallions
Orders of 1-5 medallions are charged a $2.00 shipping per medallion
Each additional medallion (over the first five) ordered is charged $1.00 shipping/medallion
Complete sets of five or more medallions shipped in one box are charged $10/set

Shipping & handling costs for watercolor prints
10% shipping charges for all orders up to $100.00
For orders over $100 shipping is $10 plus 5% of any amount over $100

  Name of Person Placing Order

Billing Address

City, State, Zip Code

Country

Method of Payment (if using check, please allow time for processing)

Credit Card Number

Expiration Date on Credit Card

Name on Credit Card
Your Order can also be shipped as a gift or to a different address
Name of Person Receiving Order

Mailing Address

City, State, Zip Code

Country

Additional Directions or Comments to include with the order