Brenda Simon Creations
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ORDER FORM


Brenda & Doug's CDs and art prints can be ordered within the U.S. using this form.
This is not an online fill-in form. Please print, fill in and mail.
NOTE: Only prints, CDs and Ruth Harms Calkin's products can be ordered using this form.
*For ORIGINAL ART contact Brenda for special shipping and insurance fees.
Email: brendasimon@brendasimon.com or phone 909.595.0610
Credit card Orders use PayPal secure cart on the product webpage.
Click the image you wish to purchase.
or Download and print
pdf filePDF Order Form 116kb
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Shipping & Handling
Total All Items:
Up to $15.00
$15.00 - $24.99
$25.00 - $49.99
$50.00 - $74.99
$75.00 and over

Add:
$4.50
$6.50
$8.50
$9.50
$10.50
Special Instructions: Indicate items you would like signed and personalized.
__________________________________________
__________________________________________
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Title or Item #
Price
Quantity
Total

Make check payable to:
Brenda Simon
P.O. Box 66
Walnut, CA 91788-0066.
For Questions call:
ph 909.595.0610
or email brendasimon@brendasimon.com

Subtotal:_________________________________________________
CA orders Add sales tax 9.75%_______________________________
Shipping & Handling (see above)______________________________
Total US Funds Only: _______________________________________
Name:
Address:
City:
State:
Zip Code:
email (for order confirmation):
or Phone:



email: brendasimon@BrendaSimon.com

ph 909.595.0610

©2012 Brenda Simon PO Box 66, Walnut, CA 91788-0066
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