I am the Rose of Sharon

SALES ORDER

              This form is for your convenience to use to print and fax, or as an e-mail attachment.

Fax: 570-424-9408  E-Mail:  RoseOfSharonShop@aol.com

 Order Date

Visa, MC, or PayPal or Check

CreditCard Number +Authorization

Code

  Name on                            Credit Card

      Your Signature

Shipping Method

UPS, U.S.P.O.,

FedEx

Religious or Church Tax ID for Discounts

Item #

Qty

Description

Unit Price

Discount

Line Total

Total Discount

Subtotal

PA Residents Add Sales Tax

Total