Order Form

Please fill the form and then click 'SUBMIT ORDER'. We will contact you within 2 business days. Here is our mailing address:

E.M.T.Boutique
3970 Deer Trail Way
Sacramento, CA 95823
For Info Call: Tesah (916) 806-2902
email: e.m.t.boutique@sbcglobal.net
web: www.emt-boutique.com

Item Number(s)

Amount of Items

Total Number of Orders

Special Notes

Method of Payment

Cashiers Check

Money Order

Shipping / Handling

add $5.00

Total Price

Ship to

Name

Address

(No P.O. Boxes)

City

State

ZIP

Phone

(Please include area code)

	Order Form Please fill the form and then click 'SUBMIT ORDER'. We will contact you within 2 business days. Here is our mailing address: E.M.T.Boutique 3970 Deer Trail Way Sacramento, CA 95823 For Info Call: Tesah (916) 806-2902 email: e.m.t.boutique@sbcglobal.net web: www.emt-boutique.com
	Item Number(s)
	Amount of Items
	Total Number of Orders
	Special Notes
	Method of Payment	Cashiers Check
		Money Order

	Shipping / Handling	add $5.00
	Total Price
	Ship to
	Name
	Email
	Address	(No P.O. Boxes)

	City
	State
	ZIP
	Phone	(Please include area code)