Please complete the following Order Form. You may submit the form electronically, as this is a secure site. If you prefer, you may mail or fax the form. (Note: Secure sites can be determined by the https in the web address).

Before placing your order, please help our marketing department by identifying how you learned about our web site:

• Print out the order form if you choose to fax it to us.
• Click on Submit if you choose to email us your order.
• Click on Reset if you need to correct an error.
• If you live in the UK, Canada, Australia, New Zealand, Denmark or Germany please click on the Distribution link above and contact the distributor in your area. Please feel free to e-mail info@cochenille.com if you are unable to get a response from the distributor.
  

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Cochenille Design Studio
P.O. Box 235604, Encinitas, CA 92023-5604 U.S.A.
phone: 858.259.1698 | fax: 760.591.4843 | email: info@cochenille.com

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Note: If your browser supports JavaScript, line item and order totals will be calculated automatically. You must enter a numeric value (the number 0 is a valid numeric value) in the "Qty" and "Price" columns. To calculate the form totals, simply click out of the field you just entered the number in.

Qty.	Item#	Brief Description	Unit Price	Total
			Sub Total (not including local CA sales tax)*	$
			Shipping:    Domestic    Overseas**	$
				$

* California Residents: Your local county sales tax will be added to the order.
**Shipping/Handling Charges for overseas orders will be charged to your purchase at cost.

Domestic Shipping/Handling Charge Information:
Order	Amount
$ 0.00 to $100.00	$6.95
$101.00 to $200.00	$7.95
$201.00 to $300.00	$8.95
$301.00 to $500.00	$9.95
$501.00 and over	6% total sale