Pure Romance by Risa Outside Order Form

Pure Romance by Risa Outside Order Form

Name: ______Phone Number: ______

Address:______

Email: ______Party Hostess: ______

I would like to: ____ Book a Party ____ Become a Consultant ____Be on the Mailing List

Qty / Item (please include size/flavor if applicable) / Price / Extended Price
Consultant: Risa Moriarty 651-247-3369

Cash or Checks payable to Risa Moriarty

Call to pay by credit card

*Products ship directly to customer and party hostess will get credit for the order. / Shipping: / + $6.00
Tax (7.125%): / +
Grand Total: / $

Pure Romance by Risa Outside Order Form

Name: ______Phone Number: ______

Address:______

Email: ______Party Hostess: ______

I would like to: ____ Book a Party ____ Become a Consultant ____Be on the Mailing List

Qty / Item (please include size/flavor if applicable) / Price / Extended Price
Consultant: Risa Moriarty 651-247-3369

Cash or Checks payable to Risa Moriarty

Call to pay by credit card

* Products ship directly to customer and party hostess will get credit for the order. / Shipping: / + $6.00
Tax (7.125%): / +
Grand Total: / $