The Starfish Shop Mail Order Form

To place your order, print this page, and complete this form. Then, FAX the completed form to Susan at (802) 649-1068 with your credit card information, or mail the completed form with your check (or credit card information) to Susan Hastings, P.O. Box 808, Norwich, VT. 05055.

Please make your check payable to: Creative Communications Center.

Quantity Item (Please indicate adult/child for shirts.) Size Price Total
         
         
         
         
         
         
         
         
         
  Shipping*  
  Total  
Name:
Address:
City
State
 Zip/Postal Code
Country
 if outside U.S.A.
Phone
 ( ) -
MC or VISA Number
Exp. Date
Signature:

==> Print this page <===

** A copy of the starfish story will be included with all orders **

For more information or to order these products,
send an e-mail to SHastings@CreativeCommunicationsCenter.com

You Make "A Difference" Today!

© 2016 Copyright Susan C. Hastings. All rights reserved. www.starfishgiftshop.com / www.adifference.com