Order Request Form

Request form for the pricing of volume discount products and shipping

This order request form is provided for your convenience to secure a price quote including shipping charges. After you submit this request we will price your order, add S&H Charges and send you a Email reply with a total cost. If you want to finalize the order you can either send payment through Paypal or by check to the following address:

Note: All information must be provided for us to respond with a quote. This is to eliminate extraneous submissions.

K&E Crafts
79 Laura Lane
Wirtz, VA 24184

Please provide the following contact information:

Name

Home Phone

E-mail

Please provide a list of items and the quantity that you wish to order

QTY DESCRIPTION

Please provide the shipping address so we may estimate the shipping costs

Shipping Address

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Comments or Questions?

	Shipping Address
*Street Address*
*Address (cont.)*
*City*
*State/Province*
*Zip/Postal Code*

Order Request Form

Revised: 08/16/06