The HempLady

Thank You for Ordering!

Please know all information is for ordering purposes only, and will remain confidential.
Just complete this form. A red asterisk ( * ) indicates required info. Click on Submit when ready to send.
It is recommended you print out this form for your records.

*Your Full Name:

*Email Address:

(very important in case of questions)
*Street Address:

*City, State:

*Zip code:

*Area Code and
Phone Number:

URL?


*Your Order:

Item
 Page
 Style/Design
 Hemp Color
 Bead Colors
 Size (")
Example: Necklace
2 -E
 Twisted hemp/ Frog
 Green Tie-Dye
 Brown/Yellow
 17.5"

If this is a personalized item, please enter name as it should appear :

(Rice necklaces may have one name on each side- Please enter only one name per box)
Item 1

Item 2

Item 3

Item 4

Any special requests?(Please also re-enter your e-mail address here)


May we ask how you found our site?

Friend
Link from another site
Search Engine
Store or Business

May we ask which one?
 Please enter friend, site, engine, or store/business below.


*Please select method of payment:

This order is under 30.00. I understand you will begin to fill my order, however it will not be shipped until my payment is received. I am including 2.50 shipping/handling with my payment.

This order is over 50.00. I understand you will begin to process my order as soon as it is received, though I must mail a check or money order before my order will be shipped. Shipping is free on orders over 50.00.

This is a wholesale order over 100.00. I am sending this completed form and a copy of my resale license, along with payment in full (70% of retail prices- no tax, Shipping is free!)

I have contacted you and made special arrangements for payment. (Special charges, shipping may apply)

*At this time, we only accept personal checks, cashier's checks, or money orders made out to:

Marianne Brender
4101 S Sheridan Rd #528
Lennon, Mi. 48449

*A 6% sales tax applies to all Michigan residents.
*There will be a 30.00 charge for NSF checks returned by the bank. Personal checks must clear before shipping.*

Is your order correct?

Please check your order for accuracy. If all information is correct, click on the submit button below.
If you do not give your contact information and mailing address, I cannot send your order. Please make double sure you provide this information.
 Thank you.