ORDER FORM 
  
Name _______________________________________________   Date __________________________
Street ______________________________________________________________________________
City __________________________________________________  State _______   Zip ______________
Phone _______________________________                 Fax _____________________________________
Email ______________________________________  Web Site _________________________________

PAYMENT

[  ] check (payable to Wendy Saunders Companies   [  ] VISA    [  ] MC  
Credit Card Number __________________________________________     EXPIRATION DATE ___________
Card Billing Address ______________________________________________________________________
Name on Card ____________________________________    Signature ____________________________
Amount $ _____________________