Use Ths Form When Using US Mail
ORDER FORM
If you pay via PayPal enter Transactions ID here:
BUYER;					Country				Date
ADDRESS:					SHIP TO ADDRESS:
CITY:			ST;	ZIP	CITY:			ST:	ZIP:
PHONE:			Work:			e-mail:
NOTE: If your are ordering MULTIPLE ornaments or products going to MORE THAN ONE ADDRESS use SEPARATE FORMS.
ORNAMENTS: Put notations here:			If your photos were sent via e-amil CHECK HERE:
			NUMBER OF PHOTOS SENT:
			NUMBER OF COPIES OF EACH:
			TOTAL NUMBER OF ORNAMENTS:					X	$19.95  =	________
					5" Gold Stand:			X	$2.95  =	________
									TOTAL
NOTE: If you are sending photos with this form put your NAME on the back of each photo. Go To FAQs
MARBLE Mementos: Put Notations Here.			If your photos were sent via e-amil CHECK HERE:
			NUMBER OF PHOTOS SENT:
			NUMBER OF 3" x 3" MEMENTOS:					X	$19.95  =	________
			NUMBER OF 2" x 4" MEMENTOS:					X	$19.95  =	________
									TOTAL
NOTE: If you are sending your photos by e-mail but paying via PayPal include your TRANSACTION ID on this form.
MAGNETS: Put Notations Here.			If your photos were sent via e-amil CHECK HERE:
			NUMBER OF PHOTOS SENT:
			NUMBER OF 2.5" X 3" MAGNETS :					X	$2.95 =	________
			NUMBER OF 4" X 4" MAGNETS :					X	$4.95 =	________
			NUMBER OF 4" X  8" CANCER MAGNETS :					X	$7.95 =	________
			NUMBER OF 4" X  8" MILITARY MAGNETS :					X	$7.95 =	________
									TOTAL
FREE SHIPPING  Within Continental United States
Shipping Rate Outside The US Furnished On Request
DECALS: Put Notations Here.			If your photos were sent via e-amil CHECK HERE:
			NUMBER OF PHOTOS SENT:
			If You Are Sending More Than One Photo Put The Number Of Decals Desired And The Style Of Decal Desired On The Back Of Each Photo.
			Number Of MEMORIAL DECALS:					X	$7.95 =	________
			Number  Of USA FLAG DECALS :					X	$7.95 =	________
			Number Of WAVING FLAGS DECALS:					X	$7.95 =	________
			Number Of HALF MAST FLAG DECALS  :					X	$7.95 =	________
			Number Of  3" X 5" CANCER DECALS :					X	$7.95 =	________
			Number Of  3" X  5" MILITARY DECALS :					X	$7.95 =	________
			If You Prefer WINDOW CLING Decals Check Here:
			If You Prefer WATER SLIDE  Decals Check Here:
									TOTAL
US Mail ORDER FORM Contunued
MOUSE PADS; Put Notations Here.			If your photos were sent via e-amil CHECK HERE:
			NUMBER OF PHOTOS SENT:
			Number Of MOUSE PADS:					X	$11.95 =	________
									TOTAL
PLATES: Put Notations Here.			If your photos were sent via e-amil CHECK HERE:
			NUMBER OF PHOTOS SENT:
			If You Are Sending More Than One Photo Put The Number Of Decals Desired And The Style Of Decal Desired On The Back Of Each Photo.
			Number Of 9" ROUND PLATES:					X	$24.95 =	________
			Number Of  9" HEART PLATES:					X	$24.95 =	________
			Number Of  9" OVAL PLATES:					X	$24.95 =	________
			Number Of 4" ROUND PLATES:					X	$19.95 =	________
									TOTAL

CarryMeBack.com

P O Box 91058

Mobile, AL

Phone: 251-285-5448