Doria's Legendary Lips - Order Form
Print this form and check the item(s) you wish to order.
Make a check or Money Order in US funds payable to:
Legendary Figures, LLC
702 Mangrove Ave. # 327 Chico, Ca. 95926
and mail it to the address listed above.
Please add $5.00 for shipping and handling.
Please allow 2-4 weeks for delivery if you email in your order
and 4-6 weeks if sent snail mail. Thank You.
Please see below for purchasing using a Credit Card

_____ Item No. CT001 Optical Crystal Heart Tower Paperweight
with etched lips and signature; 4"height x 3"wide x 2"deep.
$160.00 (tax included in cost)

_____ Item No. CP002 Optical Crystal Heart Paperweight
with etched lips and signature; 3"wide x 3"deep x 1.5" height
( Option: lips & signature etched on top or bottom of paperweight____TOP___BOTTOM)
$ 96.00 (tax included in cost)

_____ Item No. CG003 Wine Glass
with etched lips and signature; (each)
(Option: Lips and signature on same side of glass or on the opposite side of each other
_____SAME_____OPPOSITE) - $35.00 (tax included in cost)

_____ Item No. CD004 Wine Decanter
with etched lips and signature on all 4 sides - $100.00 (tax included in cost)

_____ Item No. DS005 Wine Decanter Set w / 4 Glasses,
with etched lips and signature on all 4 sides of decanter
(Option: Lips and signature on same side of glasses or on the opposite sides of each other
_____SAME______OPPOSITE); - $195.00 (tax included in cost)

_____ Item No. MB006 Pilsner Glass with Handle. 1 liter,
with etched lips and signature; (each)
(Option: Lips and signature on same side of glass or on the opposite side of each other
_____SAME_____OPPOSITE) -$40.00 (tax included in cost)

_____ Item No. MC007 Coffee Mug 12 oz.,
with etched lips and signature; (each),
(Option: Lips and signature on same side of glass or on the opposite side of each other
_____SAME_____OPPOSITE) - $40.00 (tax included in cost)

If you would like to use your credit card, please fill out the form below and mail it to address
provided above, or, cut and paste the item or items that you want to order and your credit card
information below into an email with the name of the Legendary Figure's name that you want
the lip imprint from and send it to jody@legendaryfigures.com
Email if you have any questions. Thank you for your order!
www.legendaryfigures.com

Your Name_________________________ Address____________________________ City_________________State___________
Zip Code_______ Country______________
VISA or MasterCard
Please circle or state in email which card you wish to use.
Card#________-________-________-________ Expiry Date: ___-___
Please note that the shipping address must match your credit card statement
address for the order to be processed.
Your email address:_________________________
this will be used to confirm your order.
Name of the Legendary Figure's Lip imprint you are purchasing:

______________________________________________________