Order Form

Order Form

This order form can only be used
if you are paying by
check or money order.

Thanks

Complete the form below and we will ship as soon as payment received.
Thank You

Quantity	Item Number	Description / Color	Unit Price	Total








		Sub Total --
		5.1% sales tax (Wisconsin shipping address only) --
		Shipping ( see below ) --
		Total -
Shipping rates - $0.00 to $20.00 - $4.95
	$20.00 to $35.00 - $5.95 $35.00 to $100.00 - $6.95
$100.00 and up - FREE

I will pay with Check Money Order If you are paying with credit card, Please call or use shopping cart.

Enter any special instructions or requests below-

Please enter shipping and contact information -
If you are sending item as a gift, please fill out gift card form with recipients address.

Name -
Address -
City -       State -    Zip -
Phone Number -
E-Mail Address -
How did you hear/ find us? -
Questions / Comments -

Please print out this page prior to sending order for your own records. We will also confirm your order by E-mail once payment is received. Payment can be made by check or money order made payable to: C A Designs Email us at info@thegatedarbor.com
Thank You for your order.

Mailing Address :    The Gated Arbor - C A Designs
                              PO Box 24
                              North Prairie, Wisconsin 53153-0024

                              Fax # 262-392-5590