Print this form, and mail it to:
Zona Boutique
1416 Willamette St.
Eugene, OR  97401
or
FAX ... 1-541-687-9175

 Name  Date of Order
 Address  Comments
 
 Telephone
 e-mail

Fabric Color Size Style Description Price
         
         
         
         
         
         
         
         
Subtotal   
Shipping   
Total   
 
 Method of Payment 
  BIll my credit card   Card #_____________   Exp.  Date_________
  I'm sending a check or money order.
   

  Shipping Charges
 1 - 2 items......$6.50
 3 or more items..$8.50