Order Form

1) Ship to address:

Name:______________________________________________

Address:____________________________________________

City:________________________________________________

State:_______________________________________________

Zip:_________________________________________________

Email:________________________________________________


2) Item #		Inscription Requested*			Quantity	Price

_______________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

					Shipping & Handling** (US Only):	$5.00

							Total:        _________________


3) Make money order or check payable to: Alicia D. Williams

4) Send order form and payment to:

Alicia D. Williams
5072 Westfield Dr. NE
Rio Rancho, NM 87144


Please note: Orders received by the 20th of the month will ship on the 1st of the new month.

* Mr. Horton reserves the right to alter the requested inscription.
** Canada & Overseas: Email aliciaw575@aol.com for shipping.

ALL PROFITS FROM THE SALE OF THESE ITEMS GOES TO MR. HORTON'S FAVORITE CHARITY: "THE MUSEUM OF TOLERANCE" IN Los Angeles.