Interactive Storytelling Visual Literacy Props
To order, simply print this form, complete the information below, and mail with check or money order to:

Mimi's Motifs
P.O. Box 3234
Visalia, CA 93278

Purchase orders are accepted! PO#____________________

EXPRESS SERVICE IS AVAILABLE UPON REQUEST.  PLEASE E-MAIL MIMI AT mimi@mimismotifs.com  AND/OR TELEPHONE (877) FOR MIMI (367-6464).

Phone toll free: 1-877-FOR-MIMI (1-877-367-6464) 9am to 7pm Pacific time
Fax: 559-
625-1351 - Email: mimi@mimismotifs.com

ORDERED BY:
Name _________________________________

Address _______________________________

City_____________ State _____ ZIP ________

Daytime Phone # (_____) __________________

Home Phone # (_____) ____________________

Cell Phone # (_____) _____________________

Email address ___________________________

 

SHIP TO:
Name _________________________________

Address _______________________________

City_____________ State _____ ZIP ________

Phone # (_____) _________________________

Email address ___________________________

 

QTY

ITEM NAME

PRICE EACH

TOTAL

       
       
       
       
       
       
SHIPPING, HANDLING, & INSURANCE
FOR ORDERS TOTALING:

Up to $20.00 = $ 11.00
$ 20.01 to 40.00 = 12.00
$ 40.01 to 60.00 = 13.00
$ 60.01 to 80.00 = 14.00
$ 80.01 to 100.00 = 16.00
$100.01 to 150.00 = 19.00
Above $150.00 will be determined according to weight/dollar amount
TOTAL MERCHANDISE PRICE: ________
CA RESIDENTS ADD 7.25% TAX: ________
SHIPPING & HANDLING: _______
   
TOTAL ORDER: _______

Thank you for your order; I appreciate your business. Mimi
Sorry, no paper catalog available. All returns require prior authorization.

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