To Order: Print this form and FAX it to (714) 641-8124 

Specify Center Design: ________________________________________________
  
Lettering at "TOP" of plate: __________________________________________
No more than 14 letters including spaces! 
Lettering at "BOTTOM" of plate:________________________________________
No more than 14 letters including spaces! 
Lettering color (please check one): [_] Blue [_] Green 
DOVE Symbol? [_] yes [_] no.
Inscription for Maltese Cross: ________________________________________
If you need more letters/numbers than allowed above...email us. 
If we can work it out we will be more than happy to accommodate you! 
Ship to: 
 Name:_________________________________________________________________
 Address:______________________________________________________________
 City, State, Zip:_____________________________________________________
 Message for Card (not sent when gift being sent to purchaser):
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

Address:_______________________________________________________________

City, State, Zip:______________________________________________________
E-Mail Address :_______________________________________________________
ow did you find us?:___________________________________________________
Daytime Phone: _______________________ Evening Phone:__________________
Credit Card (visa, MC, etc.):__________ Expiration Date (MM/YYYY):_____
Name: (As it appears on the card!)_____________________________________
Credit Card # :
______________________________________________________________ 

Amount Due for this Order

              Qty ordered:  _________________
 Total Price @$55.00 each: $_________________
Sales Tax 7.75% (CA only): $_________________
          Shipping Costs : $_________________ 
(see explanation on previous page) 
       Total Order Price = $ ________________ 

In the next 24 hours you should receive an e-mail back from us 
reconfirming your order.  IF YOU DO NOT RECEIVE A RECONFIRMATION please 
e-mail or call us, as your order may not have gone through! 

	Spirit Creations by "Create It"
	  801 Baker Street 
	  Costa Mesa, CA 92626 
	  (714) 641-8124 Phone/Fax
	  9am-8pm Pacific time 
 
Note: you may get our answering machine if we are unloading the kiln or
out on a delivery!