Customer Information:

Name E-mail
Ship to Ship to 2
City State
Zip Phone

Item #
Qty
Price
Total
Personalization
Item Total      
Sales Tax     GA residents add 6% sales tax
Shipping     $1-$50 add $5.00; $51-$100 add $8.00; over $100 add $10.00
Grand Total     Item Total   +   Sales Tax   +   Shipping

Ship to Address: (only if different than above)
Name
Address
City State Zip

Please select your method of payment:   
Master Card     Visa     Check

Name On Card    
Acct.#     Exp. Date

If paying by check, make check payable to: L. Tongkumsai
Mail to: 4604 Camber Well Lane ** Suwanee, GA 30024


Note: Please fill out this form then copy and paste this order form into an email and sent it to TongLinda@aol.com Since our sumit button is not working properly. Sorry for the inconvience. Thank you