White Lace Inn Product Order Form

White Lace Inn Order Form
Print this form and Mail or Fax it to:
White Lace Inn
16 N. 5th Avenue
Sturgeon Bay, Wisconsin 54235
Phone: 920 743 1105
Fax: 920 743 8180

Qty.	Item Description	Price Ea.	Total













Subtotal
Shipping/Handling - add 18% ($6.00 minimum charge)
Wisconsin Residents add 5.5% Sales Tax
Total

Shipping Address

Name
Street Address
Apt. / Suite #
City, State, ZIP
Phone #
E-Mail

Credit Card Billing Address (If Different from Shipping Address)

Name
Street Address
Apt. / Suite #
City, State, ZIP
Phone #
E-Mail

Credit Card Information (We Accept: Visa, MasterCard, Discover, American Express)

Type of Card
Name on Card
Credit Card #
Expiration Date

Thank you!
Most orders are processed within 2 working days. www.WhiteLaceInn.com