Details for personalizing your item:

To: ___________________________________ Email: _____________________________________

Message:
__________________________________________________________________________________

__________________________________________________________________________________

Delivery Address:
___________________________________________

___________________________________________

___________________________________________

___________________________________________

Simply print out and complete this form. Make your money order for the total order amount
(including $10.00 for postage and handling) payable to Cash. Then send it to:

Mandy Lynn
P.O. Box 1546
Massapequa NY 11758