01/02/2018 Name Lastname Guest Name ___________________________________________________________ Date ____________ 123 Anystreet St. Address _________________________________________________________________________________
OH Zip ________________ 43219 City __Anycity ____________________________________________________ State _____ 000-000-0000 Name@gmail.com Phone_________________________ Email Address_____________________________________________
Hostess 01/02/2018 Hostess Name __Cindy ___________________________________________________ Party Date ____________
Thirty-One Gifts LLC 3425 Morse Crossing, Columbus, OH 43219 Phone:1-866-GIFTS31
Host a party x Become a Consultant Share the name of someone who would love Thirty-One Receive ongoing email communication from Thirty-One and the Consultant at this party
Please check the box if you would like to:
Please refer to the Personalization Studio in your Catalog for design, font and design color information while filling out order form.
Product Item No. Item Name
Item No. Item Name
1
Close to Home Table Gallery
9062
Qty.
Just Write Large Circle Charm
N/A
Item No. Item Name
8112
Qty.
Item No. Item Name
Item No. Item Name
1
9065
Qty.
Studio 31 Classic
9040
Qty.
Studio 31 Flap
1
1
Lovely Leopard Pebble
Item No. Item Name
8639
Qty.
Mini Storage Bin
1
Charcoal Crosshatch
Item No. Item Name
3121
1 Design 2 Font 3 Design color 1 Design
Qty.
Large Utility Tote
1
Origami Pop
Message
Family Adventure
Swirl N/A
Paw Print Minnie
2 Font
N/A
3 Design color
Navy Blue
Full Hearts L1) Love our family L2) Jack Font N/A L3) Sue Line 1-9 Hot Pink Design L4) Abby Remaining Hearts color L5) Dylan Charcoal
1 Design 2 3
Black Beauty Pebble Body
1
Statement Canvas Pillow Cover 18x 18
N/A
Qty.
Natural Wood
9239
Personalization
1 Design
Classic Monogram
2 Font
Block
3 Design color
Platinum
1 Design
N/A
2 Font
N/A
3 Design color
N/A
1 Design
Bear
2 Font
N/A
3 Design color
Brown
1 Design
Large Headline Initial
2 Font
N/A
3 Design color
Merlot
Consultant contact information:
L6) Josh L7) Lauren L8) Derek L9) Lily
THC
(90 4 0 ) Deco Diamond Studio 31 Flap (90 4 2 ) Black Beauty Pebble Crossbody Studio 31 Strap
Q
□ Cash
□ Check # __ __ __ __ □ Credit Card
Name on card: __________________________________________________ Card #: _______________________________________________________ Exp. __ __ / __ __ __ __
Item Price
Pers. Price
Total Price
$ 58
$8
$ 66
$ 22
included
$ 22
$ 35
included
$ 35
$ 80
$8
$ 88
$ 18
N/A
$ 18
$ 22
$ 10
$ 32
$ 35
$ 10
$ 45
* Personalization cost included with pillows and wall art
8% Delivery charge
†
Ship directly to Guest address
(add $4) (optional step) $
Other Shipping Options (optional step)
Billing city & zip code: ____________________________________________ Signature ______________________________________________________
white: Consultant copy yellow: File copy pink: Guest copy sku# 101507180000
You, the Buyer, may cancel this transaction at any time prior to midnight of the third business day (five business days in Alaska) a fter the date of this transaction. See the Notice of Cancellation on the reverse side for an explanation 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.
$
330.48 Sales tax __________% $ 19.82 Total
with delivery charge
Billing address: _________________________________________________
306 $ 24.48
Product subtotal $
Round Up! or make a donation*
mythirtyone.com/gives (optional step)
*See back of form details
$
$
Grand total $
.70
351.00
† 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.