Order Form

To place an order print this order form,

fill it out and mail with payment to:

Artistic Design

12708 Thornhurst Avenue

Dept AD

Garfield Heights, Ohio 44105

(216) 641-7344

Candy Dolls: @ $20.00 each Quantity__________ Color(s)________________________

Customize Information:_____________________________________________________

________________________________________________________________________

Add Music Box: @ $3.50 each Quantity__________

Bubble Gum Clowns: @ $15.00 each quantity___________

Money Doll: Please contact us to discuss arrangements for money dolls

_____ Candy Dolls @ $20.00 each $__________

_____ Music Boxes @ $3.50 each $__________

_____ Bubble Gum Clowns @ $15.00 each $__________

Shipping & Handling @ $5.00 per doll $__________

Total Due $__________

Customer Information

Name:_________________________________________

Address:_________________________________________________________________

City:_______________________________ State:____ Zip Code:___________________

Phone:_________________________