First Name:
Last Name:
Company Name:
(if applicable)
Email Address:  
Verify Email Address:  

Ship to Address:
 No PO Boxes please.


City:
State:
Zip:
Phone #:
Cell Phone #:
Card Type:
Credit Card # :
Security Code: 3-4 digits on the back of credit card
Expiration Date
Name on Card:
Address Card if different:

TO PLACE ORDER BY PAYPAL, CLICK HERE

 
 
Your information will remain private.
 

 
TO PLACE ORDER BY 
 PAYPAL,
CLICK HERE

TO PLACE ORDER BY 
MAIL:
 
 
THE SACRED CHEST
www.SacredChest.com
Bossier City, LA  71111
 
 
 
 

 
 

 
         
ITEM NUMBER or
FABRIC NAME		 COLOR
(if applicable)		 QUANTITY or
YARDS		 PRICE TOTAL
   
 
  TOTAL

SHIPPING CHARGES
up to $50.00 $6.50
$50.01 $100.00 $7.50
$100.01 $150.00 $9.50
$150.01 $200.00 $11.00
$200.01 $250.00 $12.00

LA Residents add 4.5% sales tax
Enter Shipping Charges Here
GRAND TOTAL
Over $250 or next day,
please call for charge.
 
 

ATTACH MESSAGE AND/OR SPECIAL ORDER SPECIFICATIONS:





www.SacredChest.com