Kelley Miranda 941.779.
5569
Kelley Miranda Designs 5625 29 th St Cir E Bradenton, Fl 34203
The Perfect Gift
Order Form
Frame: 12x12, holds a 4x4 photo
Colors (please limit colors to three choices):
1. _________________________________ 2. _________________________________
3. _________________________________
Theme and/or Occasion(please be specific):
__________________________________________________________________________________________
__________________________________________________________________________________________
______________________________________________________
Name, Title, or Date: (please print)
____ Yes, I would like a coordinating card for an extra $5
(Note: The card will be blank inside)
Description Price Qty Total
Custom Frame Introductory Price $35.00
Coordinating Card $5.00
Shipping and Handling
Total
(Please make checks payable to Kelley Miranda)
Name: ________________________________ Address:_________________________________________
City: __________________________________ State: ________ Zip Code: _____________
Email: ______________________________________ Phone: ( )_________ - _______________ No
two frames will be the same. Papers and embellishments are subject to change according to availability. Due to the nature of hand-made products
there may be some slight flaws. The final product may be used for promotional advertising. Any returned checks will incur an additional $40 fee.