Mail Your Order To:
LA WREN'S NEST
233 Route 197, Woodstock, CT 06281
Fax Your Order to:  (860) 928-6701
Questions or to Call In Your Order: (860) 928-6908
Mailing Address Shipping Address (if different)
Date:________________________________
Name:_______________________________
Street:_______________________________
City: ________________________________
State: ________________  Zip: ___________
Telephone (       )_______________________
E-mail _______________________________		 Date: ________________________________
Name: _______________________________
Street: _______________________________
City:  ________________________________
State: _________________  Zip: __________
Telephone (       )_______________________
E-mail _______________________________
Catalog No.

Item Name, Size, Color, Etc.

Unit Price Qty.

Total

         
         
         
         
         
         
         
         
         
         
         
         
         
SUBTOTAL  
15% or a minimum of $3.00 Shipping & Handling  
International Shipping or UPS Ground 
(call for price quote) 		 
If you live in Connecticut add 6% Sales Tax  

TOTAL

 

If member of The Roman Way,  Legio VIII, or Legio III Cyrenaica, check here ________
PAYMENT METHOD:  ____ Check     ____ Money Order     ____ VISA     ____ Master Card    
                                                       ____ Discover     ____ American Express
CREDIT CARD NO. __________________________  
CV Code ____ (this is located on the back of the card, the last 3 digits on the signature line)  
EXPIRES: ________________ 
Cardholder Signature: _____________________________________________________