Order Form
When using check or international money order as
payment, please print & fill out this form, then mail along
with the appropriate amount of payment to the address
listed on the order form.
Note: All prices are quoted in U.S. dollars.

*Name
*Street Address
*City
*State/Province
(if you are not in Canada or US, put "NA" for not applicable)
*Zip Code
*Country
Phone #
*E-mail

*Payment Method:   PayPal ______    Personal Check ______     Money Order ______
   Mail order form and payment to:

Diane Costanza Studio
47 Glide Lane
Holtsville, New York 11742

Please allow at least 3 to 4 weeks for delivery for any items made to order.

QTY
ITEM #
Color/Pattern/Size
PRICE
TOTAL
Subtotal
Shipping & Handling
**Sales Tax (if applicable)
Final Total
**Sales tax payment required in New York State

Shipping & Handling

US & Canadian Customers

First Class
-  under $50: $3.00
- over $50: $4.00
Priority Mail
-  under $50: $4.00
- over $50: $5.00

International and Overseas Customers
- please email me for shipping costs.



For Customers using
Checks or Money Orders:
Please send your payment with your name, e-mail address and a printed
copy of your completed order form to:

Diane Costanza Studio
47 Glide Lane
Holtsville, NY 11742 USA

For Canadian and Overseas Customers:
Please be sure to affix sufficient postage on your envelope
or it will be returned to you by your postal service.

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