"R" Shoppe Order Form

We do not have a secure server for ordering yet, so please print this form, fill it out, and then mail it with your check to the address below.



   Name:__________________________________
Address: _________________________________
   City: _______________ State: ____  Zip: ___________
  Phone: (      ) _________________
Item Description                                 Price
2000 Ornament (clock)               Qty: ____  x $15.00 = ________
1999 Ornament (bay window)          Qty: ____  x $12.00 = ________
1998 Ornament (wallpaper)           Qty: ____  x $12.00 = ________
1997 Ornament (front stairs)        Qty: ____  x $12.00 = ________
1996 Ornament  (front of house)     Qty: ____  x $12.00 = ________
1995 Ornament  (3-D side of house)  Qty: ____  x $12.00 = ________
1994 Ornament  (front door)         Qty: ____  x $12.00 = ________
1993 Ornament (chandelier)          Qty: ____  x $12.00 = ________
1992 Ornament (fireplace)           Qty: ____  x $12.00 = ________
Note Cards                          Qty: ____  x  $4.00 = ________
Pin                                 Qty: ____  x $10.00 = ________
Bookmark                            Qty: ____  x  $3.00 = ________
Chocolates                          Qty: ____  x  $1.50 = ________
Rengstorff Video                    Qty: ____  x $15.00 = ________
Perry Askam  CD                     Qty: ____  x $15.00 = ________
                                                Subtotal: ________
                                                Shipping:   $2.00
                                     Total: ________

Make check payable to: "Friends of "R" House

Send check and copy of this form to:

Friends of "R" House - "R" Shoppe
3070 N. Shoreline Blvd.
Mountain View, CA 94043


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