Testing Form Mail

Order Information
To order your Silkie, please fill out this form and then click on the 'Submit Your Silkie Order' button. The information that you provide will be e-mailed to Carla. If you would prefer to e-mail her directly, her address is: carlahaze@comcast.net. For a phone message call: 501-221-2105. To snail mail her: Carla Hazlewood, 3327 Happy Valley, Little Rock, AR 72212

Price - $16.25 per Silkie. This price includes shipping and handling (overseas orders will require extra postage).

QuantityFabric ChoiceMonogrammed NameMale/FemalePrice
 1st  M F 
2nd
 1st  M F 
2nd
 1st  M F 
2nd
 1st  M F 
2nd

Any Special Requests:

Bill to: Phone:

Mail to:

Attach Gift Card? Yes No

If Yes, please have the card read as follows:

 

Thank You for your order!