Pillow Soft Designer Satin Covered Foam Roller Mail Order Form


Please print this page, and mail it to the address below. We only accept payment by money order or check. Please make payment payable to Patricia Caver. If paying by check, please allow 3-5 business days for your funds to clear, and before we ship your order. Please include your email and address. You will be notified when your order is shipped, or of any out of stock items.

QTY                  DESIGN#       Pk. No#           SIZE                PRICE             TOTAL
Total Items                               

Shipping                              

Sub Total                           

State Tax                           

Total Order                     

Shipping and Handling                 

Up to $15.00       $4.99                

$15.00-$50.00     $6.99                

$50.00-$75.00     $8.99                

Make Payment to Patricia Caver
Mail Money Order or Check to
Po Box 27009
Charlotte, NC 28221-7009
Name:                                             Number:

Address:                          

 
City, State and Zip                                             

Email Address                       


Caftans with Matching Scarf and Rollers and Pillow Case Mail Order Form


Please print this page, and mail it to the address below. We only accept payment by money order or check. Please make payment payable to Patricia Caver. If paying by check, please allow 3-5 business days for your funds to clear, and before we ship your order. Please include your email and address. You will be notified when your order is shipped, or of any out of stock items.

Name:                                             Number:

Email Address                       

Address:                          

 
City, State and Zip                                             

QTY                  DESIGN#                      SIZE                PRICE             TOTAL
Total Items                               

Shipping                              

Sub Total                           

State Tax                           

Total Order                     

Add a Hood to Caftan                 
for $6.50
CAFTAN     $22.50

SCARF        $1.50

With 
Rollers    

$10.00 for
2 Sets