3177 Latta Road
(1) Print This Form On Your Printer  (2) Fill In All Order Information Using Black Ink  (3) * Fax It To Crystal Forest Gifts
Crystal Forest Gifts
Order By Fax Form

3177 Latta Road #131
Rochester, New York 14612

Phone & Fax (585) 723-6416
E Mail: CFG@Rochester.RR.Com
 		  Company Name  
 Your Name  
 Street Address 1  
 Street Address 2  
 City - State - Zip  
 Phone Number  
  Cardholder's Name _______________________________________________
  Master Card ____       Visa ____      American Express ____      Prepaid Order ( Please Phone Us In Advance)
Card # ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Exp ___/___/___
  Requested Delivery Address and Credit Card Billing Address Must Match
Quantity Item Number Size Color Description Price Total
             
             
             
             
             
             
             
             
             
             
             
             

* Note: Shipping and Handling Will Be Added To Your Order Total Once Weight is Determined
 Click Here To Return To Wholesale - Store

Customer Name ___________________________ Company Name ____________________  Order Form -  Page 2

Quantity Item Number Size Color Description Price Total