Wedding Pillows & Rosaries Order Form

Ordering Your Ring Pillows and Rosaries

Please complete the form below, and mail it to Carmelite Monastery, 5714 Holladay Blvd., Salt Lake City, UT 84121

or e-mail it to: carmelsl@xmission.com

Note: An asterisk (*) indicates a required field.

Your Information

First Name:*

Last Name:*

Address

Address:*

City:*

State:*

Zip::*

Country:*

Phone:*

(including area code)

Email:*

PLEASE SEE Price List for more detail on item numbers and prices

Please Enter

Item order number: * (Column A) (#)

Price each item: * (Column B) ($)

Quantity: * (Column C)

Sub-total of each item = price each item x quantity

(A)

(B)

(C)

# $ x

Sub-total

Sub-Total

Handling & Delivery

Total Amount:*

+ $7.50


	Please Note: All information must be filled out completely in order to send your order