ORDER FORM (please print legibly) Guest Name:__________________________________________________________________________
Hostess Name: __________________________________________________________
Street Address: ________________________________________________________________________
Party Date: _______________________
City: _____________________________________________ State: ________ Zip: __________________
Please check the box below if you would like to:
Email: _______________________________________________________________________________
¨ Host a party ¨ Become a Consultant
Phone #: ___________________________________ Cell #:_____________________________________
¨ R eceive ongoing email communication from Thirty-One and the Consultant at this party
Thirty-One Gifts LLC 3425 Morse Crossing, Columbus, OH 43219 Phone:1-866-GIFTS31
¨ S hare the name of someone who would love Thirty-One
Please refer to the Personalization Studio in your Catalog for design, font and design color information while filling out order form. Product Item No.
Personalization text and color
Qty.
Cost
Line 1
Color
Line 6
Color
Item Name
Line 2
Color
Line 7
Color
Line 3
Color
Line 8
Color
Line 4
Color
Line 9
Color
Line 5
Color
Line 1
Color
Line 6
Color
Item Name
Line 2
Color
Line 7
Color
Line 3
Color
Line 8
Color
Line 4
Color
Line 9
Color
Line 5
Color
Line 1
Color
Line 6
Color
Item Name
Line 2
Color
Line 7
Color
Line 3
Color
Line 8
Color
Line 4
Color
Line 9
Color
Line 5
Color
Line 1
Color
Line 6
Color
Item Name
Line 2
Color
Line 7
Color
Line 3
Color
Line 8
Color
Line 4
Color
Line 9
Color
Line 5
Color
1 Design 2 Font Item No.
3 Design color Qty.
1 Design 2 Font Item No.
3 Design color Qty.
1 Design 2 Font Item No.
3 Design color Qty.
1 Design 2 Font
3 Design color
Consultant contact information:
□ Cash
□ Check # __ __ __ __
□ Credit Card
Name on card: _______________________________________________________________
Card #: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
___ ___ ___ ___
Exp. __ __ / __ __ __ __
Billing address: _______________________________________________________________
Billing city & zip code: __________________________________________________________
Item Price Pers. Price Total Price Item Price Pers. Price Total Price Item Price Pers. Price Total Price Item Price Pers. Price Total Price
* Personalization cost included with pillows and wall art
Product subtotal $
8% Delivery charge† Ship directly to Guest address (add $4) (optional step)
Total with delivery charge
Signature ___________________________________________________________________ white: Consultant copy yellow: File copy pink: Guest copy sku# 101501170000
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day (five business days in Alaska) after the date of this transaction. See the Notice of Cancellation on the reverse side for an e xplanation of this right. It is the Consultant’s responsibility to safeguard all credit card information, maintain a secure internet connection during any ordering and to safely destroy ALL documents containing customer credit card information after the order is completed.
Sales tax __________% Round Up! or make a donation* (optional step) thirtyonegifts.com/gives
* See back of form details
Grand total
$ $ $ $ $ $
† Delivery charge is the cost to process an order and ship it to the Consultant or Hostess. Delivery charge is 18% for Alaska, Hawaii and the U.S. Territories.