Brides Name
Grooms Name

Street Address
City State (two letter code) Zip Code

Email address

Choose the design:

Weddings:
Love Birds $6.25 each
Basket of Hopes and Dreams $5.75 each
Today's Journey $7.25 each
Graceful Entrance $5.75 each
Secret Garden $6.00 each
Wedding Bells $6.25 each
Bridal Showers:
Basket of Hopes and Dreams $5.75 each
Baby Showers:
Baby's First Step - Girl $4.50 each
Baby's First Step - Boy $4.50 each
Proms:
Email us specific themes and ideas
Birthdays:
Designs not yet available
Corporate:
Favors are custom designed and ordered
Gift Sets:
Jump'n Java $20.00 each set
Chili Delight $12.00 each set / $8.00 for second soup cup
Dipsy- Do $18.50 each set
Tea for One $30.00 each set
Movie Buff $20.00 each set
Cookie Galore Small $15.00 each set / Large $22.00 each set
Stress Releiver $25.00 each set
Madly Italian $50.00 each set
Please specify bowl design:
Herbal Delight
Fish Fantasy
That's Italian

FORM OF PAYMENT:

Personal Check Money Order
Just print this form and mail to: Occasional Treasures 28 Fawn Oaks Drive Ofallon MO 63366.

If using a credit card please read the following and then check the appropriate box.
You may simple press the submit button at the bottom of this form to send information via email. However, our site is NOT a secured channel. For your protection when using a credit card, you may print this form and fax to 314-281-2624.

Please choose one of the following:
Credit Card - Email
Credit Card - Fax
Card Holder Name
Mailing Address
Credit Card Number
Expiration (00/00) /

I authorize the use of the above listed credit card for the following amount of and declare that I am the said owner of card.I hereby authorize Occasional Treasures to charge my credit card for the amount stated herein.

You will be notified by email when your sample will be shipped to you.

Thank you for interest in our product. If you have any questions, please do not hesitate to email us at comments@occasionaltreasure.theshoppe.com or call us at 1-314-281-2624.