order form

Lotta Jansdotter 864 Post Street San Francisco, CA 94109

Local: 415.409.1457 Fax: 415.409.2543

Order Form

Please print out this form, fax it, or mail it to us, or simply email us with this form's information. We always advise calling in or faxing any credit card numbers. You are always welcome to phone in your order! (415.409.1457)

Ship To:	Bill To: (where you recive your credit card bills)
Name:	Name:
Address:	Address:


City, State, Zip:	City, State, Zip:

Telephone No:
Email (optional):
Name as it appears on CC:
Account #, Exp Date:
We accept Visa & Mastercard

Item:	Quantity:	Price:	Subtotal:	Total:

Merchandise Total:
California state 8.5% tax only if ordering in CA:
Shipping Charge:
Order Total:

Shipping Rates within US.UPS ground
Orders Up to $49.99	$7.00	$50.00 - $99.99	$10.00
$100.00 - $199.99	$20.00	$200.00 and over	$30.00

Please allow 1-2 weeks for order fulfillment.