Dee-Light-Ful Creations    Scrub Top - Order
Deanne Lyddon
6879 Sard St., Alta Loma, CA 91701     909-989-3673

Scrub Top Order - without shipping

Name:

Address:

City:
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Phone:

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Sales Rep.:


Size:
XS = Extra Small   XS-S = Extra Small-Small   S = Small   SM = Small-Medium   M = Medium
ML = Medium-Large   L = Large   XL = Large   Custom  
(SM=Small on top, Medium on bottom. ML=Medium on top, Large on bottom)

Qty Item# Description Qty Price Your Fabric
1= $19.35 $10.00
2= 38.70 20.00
3= 58.05 30.00
4= 77.40 40.00
5= 96.75 50.00
6= 116.10 60.00
7= 135.45 70.00
8= 154.80 80.00
9= 174.15 90.00
10= 193.50 100.00
Total (from list on right side of page):
Have Check for Order?     Yes      No  

Your comments...

$18.00 per Scrub Top plus Sales Tax: 7.5%
Your Fabric: You give fabric to us, we make & give to you... $10.00 Labor
Feel free to specify Custom features.

Make checks payable to "Good-Lyddon Data Systems"

Telephone Orders accepted.
Satisfaction Guaranteed!
(we goof, we pay; you goof, you pay)
Thank you