ORDERING INFORMATION AVAILABLE TO ORGANIZATIONS ONLY		Printable Form Only No Online Ordering Available
	Organization Name: ________________________________________________________
	Contact Person: ___________________________________________________________
	Billing Address: ___________________________________________________________
	City: ______________________ State: ______________________ Zip: _____________
	Shipping Address: _________________________________________________________
	City: ______________________ State: ______________________ Zip: _____________
	Phone Number: ___________________ Email: _________________________________

OPTIONS	IMPORTANT INFORMATION
1). Gift Boxed SAMPLES are available @ $16.00 ea (Reimbursed w/ 1st Order) Available to organizations only Price includes shipping (within the US) Contact us for information on shipping outside of the US No more than one order of each design unless other arrangements have been made When ordering samples please send a check for full amount due. 2). Gift Boxed Ángeles de la Luz @ $13.00 ea Available to organizations only Minimum order of 30 Angels in any combination of designs. Additional Angels in increments of 5. (Example: 35, 40, 45...) Shipping & Handling additional. We ship UPS Ground unless otherwise requested. A deposit of one half of the total order is required for any order of 30 angels or more. Please send check with order. Balance plus shipping & handling charges will be due within 30 days of invoice.	Make checks payable to "La Ceramica LLC". Include your organization's name on the check. Mail checks and order forms to La Ceramica LLC P.O. Box 2362 Tucson, AZ 85702 In the state of Arizona, please include your organization's sales use tax exemption certificate with your order. Otherwise sales tax will be charged Shipping rates and delivery dates will be confirmed when your order is received.

OPTIONS

IMPORTANT INFORMATION

1). Gift Boxed SAMPLES are available @ $16.00 ea (Reimbursed w/ 1st Order)

Available to organizations only
Price includes shipping (within the US)
- Contact us for information on shipping outside of the US
No more than one order of each design unless other arrangements have been made
When ordering samples please send a check for full amount due.

2). Gift Boxed Ángeles de la Luz @ $13.00 ea

Available to organizations only
Minimum order of 30 Angels in any combination of designs.
Additional Angels in increments of 5. (Example: 35, 40, 45...)
Shipping & Handling additional. We ship UPS Ground unless otherwise requested.
A deposit of one half of the total order is required for any order of 30 angels or more. Please send check with order.
Balance plus shipping & handling charges will be due within 30 days of invoice.

Make checks payable to "La Ceramica LLC".
Include your organization's name on the check.
Mail checks and order forms to
In the state of Arizona, please include your organization's sales use tax exemption certificate with your order. Otherwise sales tax will be charged
Shipping rates and delivery dates will be confirmed when your order is received.

Options	Angels	Quantity	Total
	Angel w/ Flower (Ángel con flor)
	Angel w/ Butterfly (Ángel con mariposa)

Questions? Contact Carrie Presnall
Email: sales@donorrecognition.art.com
Phone: 520-981-6826

Total: $_____________________

AZ Sales Tax (if applicable): $_____________________

Deposit: $_____________________