Retail Order Form

The secure order form option is PayPal, but you can print and mail this form unless you don't mind sending it electronically in the clear.

For larger orders of at least 48 count feel free to use the wholesale order form.

Name: Phone: E-mail address:
Billing and Shipping Addresses: Ship to Billing Address

Products to Order:

BUTTONS
Qty: Cost: ($1.00 ea) It's All Good
Qty: Cost: ($1.00 ea) Fire and Ice
Qty: Cost: ($1.00 ea) Magic Eye
Qty: Cost: ($1.00 ea) Rose Peace
Qty: Cost: ($1.00 ea) Hemp Forever
Qty: Cost: ($1.00 ea) Turtles and a Hooka
Qty: Cost: ($1.00 ea) Medical Marijuana
Qty: Cost: ($1.00 ea) Medical Marijuana 2
Qty: Cost: ($1.00 ea) Cathy's Peace Sign, small
Qty: Cost: ($1.00 ea) Kitchen Peace Sign
Qty: Cost: ($1.00 ea) Pot Peace Sign
Qty: Cost: ($1.00 ea) Rainbow pot leaf

CARDS

Qty: Cost: ($2.00 ea) Kitten in the Snow, January
Qty: Cost: ($2.00 ea) February
Qty: Cost: ($2.00 ea) April
Qty: Cost: ($2.00 ea) May
Qty: Cost: ($2.00 ea) July
Qty: Cost: ($2.00 ea) August
Qty: Cost: ($2.00 ea) November--Dancing Girls
Qty: Cost: ($2.00 ea) December
Qty: Cost: ($2.00 ea) Farmin Fairies
Qty: Cost: ($2.00 ea) Flying High
Qty: Cost: ($2.00 ea) Unicorn
Qty: Cost: ($2.00 ea) Valentines-Azalea Heart
Qty: Cost: ($2.00 ea) Maple World
Qty: Cost: ($2.00 ea) Sunflowers in August
Qty: Cost: ($30.00 ea) Prints 11" x 17"
Qty: Cost: ($20.00 ea) Prints 8½" x 11"

STICKERS

Qty: Cost: ($1.00 ea) It's all good
Qty: Cost: ($1.00 ea) Medical marijuana
Qty: Cost: ($1.50 ea) Hemp forever
Qty: Cost: ($1.50 ea) Dragon Peace
Qty: Cost: ($3.00 ea) Waterfall Fairy
Qty: Cost: ($3.00 ea) Happy Frog
Qty: Cost: ($3.00 ea) Hemp Maiden
Qty: Cost: ($3.00 ea) Cinny and Pridgett
Qty: Cost: ($3.00 ea) Forever Forest

Please add a shipping, handling, etc. charge of $1.00 plus 10 % of merchandise total.

Total Cost:

Method of Payment:
Credit Card or Check Number::

Contact Us

Imishia Rainbows
PO Box 784
Veneta, OR 97487

(541) 242-1244
email: imishiarainbowintearthlink.net
Market if you are in Eugene.

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