Cinna-Minnies Mail Order Form
Print This Order Form And Mail To :
 Rochelle Beach
1046 S. Graham Rd.
Flint, Michigan 48532
QTY ITEM   NAME PRICE TOTALS
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
    $ $ 
Michigan residents add 6% sales  tax -                              
Order Total
 $0-$20.00
$20.01-$30.00
$30.01-$50.00
$50.01-$100.00
$100.01-$200.00		 Domestic
$5.95
$6.95
$7.95
$10.95
$17.95
Canada
$8.95
$9.95
$11.95
$13.95
$20.95
We ship Priority Mail With Delivery Confirmation
In The Continental USA
Shipping & Handling  
TOTAL ORDER  
Circle Payment Method:          Check         Money Order          Credit Card
Your Signature:_________________________________________
Name on Card :
Card Number :
Exp.date:                    Cricle One -  Visa     MasterCard       CVC #:   __ __ __ (located on back of Card)
Your Email Address:
Customer Name:
Address:
City:                                                          State                              Zip Code
Home Phone #                                                      Work Phone #                                    
Personal Checks and or Money Orders
should be made payable to Rochelle Beach.

 rochelle@cinna-minnies.com  Or  Phone us at : 1-810-496-4479
Thank You For Choosing Cinna-Minnies !!!