Platters Order Form

Please provide us with the items that you want to order, we will contact you with the total price, payment
information and shipping dates. We also accept credit credit payments. We will send you an order confirmation in 24 hours or less. You can send this order online by clicking the submit button.
We appreciated your business, come back and visit again soon.

Please indicate if you want the items shipped or delivered, we offer free delivery in the Oxford, PA area
and within 15 mile radius. We also offer gift wrapping for a small fee. Please indicate if this item is a gift,
please fill in the appropriate in the form so we can prepare your package accordingly.

Please provide the following ordering information:

QTY	DESCRIPTION

	CUSTOMER INFORMATION
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

If this item is a gift, please check the appropriate boxes.

Gift Gift Wrap $5.00

If Other, please enter gift giving occasion below:

ENTER COUPON CODE

	Send to gift:
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

If you want to send a message with your gift, fill in the box above.
You can also use this box for any other comments or instructions.

Checks made payable to Ruth Jenkins
Contact us for mailing address.