CottonWood Creations Printable Order Form
Print this form for easy mail order. Complete your order, send along with your check,  money order(USD ONLY) or credit card information to:

CottonWood Creations
15210 Wilden Dr.
Urbandale, IA 50323
515-978-4896
QTY ITEM # and NAME PRICE TOTALS
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
IOWA Residents Add Your Local Sales Tax -                              
Shipping:
U.S. residents - postage paid
International orders - please contact us for shipping rates before sending your order. International customers must pay with credit card ONLY.
$5 MINIMUM ORDER PLEASE		 Shipping & Handling  
TOTAL ORDER  

CREDIT CARD INFORMATION
Name on Card -
Card Number -
Exp.date                     Circle One: VISA         MasterCard           DISCOVER              American Express

CUSTOMER INFORMATION
Customer Name
Address
City                                                           State                      Zip Code
Home Phone #                                Work Phone #                                    Email Address