Brenda Simon Creations
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Check 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, matted prints and CDs 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 -

Click the image you wish to purchase.

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.
__________________________________________
__________________________________________
__________________________________________
__________________________________________
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 8.25%______________________________
Shipping & Handling (see above)______________________________
Total US Funds Only: ____________________________________

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email:brendasimon@brendasimon.com

ph 909.595.0610

©2008 Brenda Simon PO Box 66, Walnut, CA 91788-0066

website created by Brenda Simon Creations