Terrarium
Secure Order Form

          This is a Secure Order Form, so all your information will be encrypted, and sent Safely. Only I will receive this information, and will send you an e-mail confirmation, and shipping information for your order. Use this form Only for Secure Orders charged to your Visa or Mastercard
          You can also pay by Check or Phone Order

Some Glass colors available (For Town House Only):
Since not all colors are always available
Please select an alternate color for Town House Terrarium

Standard colors: Dk Blue / Lt Blue / Dk Green / Lt Green / Pink / Yellow / Gold / Rust / Lt Purple / Dk Purple / White / Black / Grey / Pink+Blue / Green+Blue

Iridescent Colors: Med. Blue / Lt Blue / Grey / Pearl / Pink /Lt Green / Lilac / Peach

Terrariums:

   
 Teardrop Terrarium 
 		Quantity:   X $80   =     Total:$

 Birdhouse Terrarium 
  		Quantity:   X $80   =     Total:$

 Snowflake Terrarium 
  		Quantity:   X $80   =     Total:$


 Town House Terrarium 
      Color 
 Alternate:  
 		Quantity:   X $70   =     Total:$

 Globe Terrarium
  		Quantity:   X   $65 =     Total:$

 Large Globe Terrarium
  		Quantity:   X   $90 =     Total:$

 Bite Terrarium 
  		Quantity:   X   $40 =     Total:$

 Shipping & Handling ($14 Per Item):
  	  Total Quantity: X $14 = Shipping Total:$

						      ______________________

				Grand Total:   	    $





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Purchased By:
(All Info Required)

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