L.L. Gagliardi - Gifts of Distinction and Galena Artisan Center, shops in Galena, IL

Order Form

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Thank you for your interest in our products!
After sending in your order, you will be contacted to arrange payment.


Shipping Information:	All Fields are Required	Date:
First Name (and MI):
Last Name:
Address:
City:
State:	Zip Code:
Phone:	ex. xxx-xxx-xxxx
E-mail address (for transaction confirmation):


Please select Quantity, Item, and Fabric Choice Price and Amount will be automatically calculated
Qty	Item (view pricelist)	Fabric Choice (view fabric choices)	Price	Amt
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
			$	$
Shipping costs: 1 item = $5 2 items = $7 3 items = $8 4 or more: call for a quote $10 for each Wall Hanging			SUBTOTAL:	$
			Estimated Shipping:	$
			TOTAL:	$
Comments about this order:

Sizes are approximate and prices are subject to change without notice.