Pepperhill Design Co. - Order Form
1497 Hunting Hollow Dr. • Hudson, Ohio 44236
Tel: 330-653-3778 • Fax: 330-865-7643
Print in
Landscape
Orientation

Billing Information: Shipping Information (if different from Billing Address)
Name - Name -
Address - Address -
City, State, Zip Code - City, State, Zip Code -
Phone and/or E-mail - Phone and/or E-mail -

QUANTITY ITEM # DESIGN # COLOR # DESCRIPTION PERSONALIZATION SPECIAL INSTRUCTIONS PRICE
               
SUB TOTAL  
OHIO ORDERS - add applicable tax (6.25%)  
SHIPPING AND HANDLING -    $7.00 and Under = $2.00   •   $7.01 to $19.99 = $4.00   •   $20.00 to $40.00 = $6.00
$41.00 to $60.00 = $8.00   •   $61.00 & Over = $10.00 		 
TOTAL ORDER  

• Delivery Method (Please check one):     Pick-Up      Ship     • Please make checks payable to: Leslie Malick    

• All order will be shipped USPS Priority Mail     • Please allow 1-2 weeks for orders to be shipped