Ordering Form: Commemorative Pillow

Please use this form for ordering for:
Commemorative Pillows

Ready-to-Print order form
(print, complete, and mail with payment)

Twazzle and Funomics Custom Embroidery
P. O. Box 380121
Murdock, Florida 33938-0121
email: webmaster@twazzle.com
 (941) 244-6670

~~~  PLEASE PRINT  ~~~
NAME (full): _____________________________________________
Address (# Street; Apt.#): _____________________________________________
City, State, Zip: _____________________________________________
Phone number: _____________________________________________
and/or email: _____________________________________________

COMMEMORATIVE PILLOW

please fill in the blanks
His First Name: __________________________
Her First Name: __________________________

Commemorative Pillows includes the Humming Bird Heart
Entered into Blessed Matrimony on
___________________ (day of the week),
the ____ (date) of ___________________ (month),
__________ (year).
  PRICE
Commemorative Pillow::

$90.00
Set up fee ($10.00 value) included
Sales Tax: included
Shipping & Handling: included
TOTAL ENCLOSED: ________

Please write checks or money orders to:  Twazzle and Funomics

SPECIAL INSTRUCTIONS, QUESTIONS and/or QUOTE REQUESTS: