Name:____________________________________
Address:_______________________________________________
City, ST, Zip:____________________________________________
Country:____________________ PM Phone:___________________
E-Mail Address:_________________________________________
Class Name:CHLC10: Lavender Fields
Amount Due:________________________(Texas Residents Add 8.25% Sales Tax)
Texas residents must pay sales tax
On $50.00, tax is $4.13.
Payment may be made by check or by PayPal.
Option 2: Pay by PayPal using Carole Lake's Order Form Carole Lake
4003 Edgefield Court
Austin, TX 78731
Phone: (512) 349-0390
Fax: (512) 349-0585
email Carole Lake
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