Order Form

Bast Designs

001-1-818-890-9722

P.O. Box 5839

Sherman Oaks, CA 91413-5839

Please do not send money with this form, unless you are have already contacted me for a quote.
All payments need to be in US Dollars unless other currency is agreeded apon in advance.

First Name:		Last Name:
City:	State:		Zip Code:
Phone number:		E-mail:
Times to call you:
If you do not give me a time to call that is good for your schedule, and let me know what state/time zone you are in, I will respond by mail or e-mail only, which may not be in the time frame you need.
Item Description:			Quantity:
Color(s):
Alternate Color(s):
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Color(s):
Alternate Color(s):
Item Description:			Quantity:
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Alternate Color(s):
Item Description:			Quantity:
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*Questions or Special Requests. Yes I am willing alter one of my designs for specially you, or to consider making something I do not have on my site. Give me an idea of what you would like here!