Order Form

Orangeburghplats.com

Order Form

Ordered by -

Name _____________________________________________

Address ____________________________________________

City ________________________ State ____ Zip __________

Telephone ___________________ E-mail _________________

Ship To - (Fill in only if different name and/or address than above)

Name _______________________________________________

Address _____________________________________________

City __________________________ State ____ Zip _________

Shipping and handling _____________

Amount enclosed (ck. or mo.) _____________

Please print out this form, complete it and mail to:

Margaret G. Waters

12702 Golf Club Dr.

Savannah, GA 31419

If you have questions, feel free to e-mail me.