subtotal

totalshipping ($6.50 plus 10% of your subtotal)

Check the other side of this sheet to provide in your payment information.

kitchenware order formThank you for ordering our kitchenware! If this is a gift, just check the box below! You can enter any other comments in the blank space here:

Where should we ship your order? same as billing, or:

expm m y y

cvv

Card #

Name on Card

Cardholder Signature

Billing Address

city

phone

st zip

Shipping Address

city

phone

st zip

Gift Card Message:

If you’d like to call in your order, please call us at 828-539-0026, otherwise mail your order to:

(please print)

gallery 2626-B Valley River AvenueMurphy, NC 28906-2955

Check here if this is a gift: