White Lace Inn Order Form
P
rint 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