Carol's Custom Woodworking

Please print out this order form, complete all required information and mail to Carol Dohrmann

Name:_________________________________________________________________________________

Address:_______________________________________________________________________________

City, State & Zip Code:___________________________________________________________________

Phone Number: (______)__________________________________________________________________

Email Address:__________________________________________________________________________

Date Item Is Needed:_____________________________________________________________________

Quantity: (____) Design:                                     Item Number:_________ Cost:___________Total:______

Personalization:_________________________________________________________________________

Quantity: (____) Design:                                     Item Number:_________ Cost:___________Total:______

Personalization:_________________________________________________________________________

Personalization of Plates = 30 letters and spaces maximum = $10.00 per plate. $____________________

Please call Carol Ann for information on shipping charges - Thank You

                  Sub-Total: $_________

Shipping & Handling: $_________

               Grand Total: $_________

Send Check or Money Order with this form

Authorized Signature:_______________________________________________ Date:________________

(Sales Tax Included In The Price Of The Item)