Sherri Andres 16704 58th Place West Lynnwood, WA 98037 Phone (425) 743-9775

E-mail: sherri@oldwomaninpurple.com

IF PAYING BY VISA OR MASTERCARD
PLEASE GO TO "BUY NOW"
ON MAIN PAGE TO THE
'PAY PAL' SITE

~IF PAYING BY PERSONAL CHECK OR MONEY ORDER PLEASE ALLOW 10 DAYS FOR CHECK TO CLEAR~

~USE ONLY IF ORDERING BY MAIL Print This Form Out On Your Printer.... Fill-In and mail to address above~

Your Ordering Information:

Company Name (If Applicable)________________________________________________

Name_____________________________________________________________________

Address___________________________________________________________________

City_____________________________________State_________Zip__________________

Contact Phone_______________________E-mail Address:__________________________ ___

You Can Also Phone Or E-Mail Your Order To Me
SPECIAL ORDERS WELCOMED

Qty	Item #	Item Description Plus Designate (Hair Color) See Below	Price Each	-Extended-
			Hair Colors: Gray, White, Red, Blond, Brown or Black
			Make Checks Payable to "Sherri Andres" US Dollars
			Personal Checks or Money Orders Welcomed.....PLEASE ALLOW 10 BUSINESS DAYS FOR CLEARING	Sub Total
			Washington Residents Add 8.7% Sales Tax	Sales Tax
			USPS Shipping (Ground) Included With Price (Continental USA) Priority ..usually 3-4 days	$00.00
			Allow 3-4 Weeks For Delivery of Out Of Stock Items. In Stock Items Shipped Immediately.	Totals All

Please E-Mail Us Below With Any Comments, Inquiries or Suggestions

Return To "Old Woman In Purple" Website