Order Form

Your Name (Sale Organizer Only) ______________________________________ *

Personal Phone Number ____________________________ *           Email ________________________________

Organization ____________________________________________________________________   *

City ___________________________        Date(s) of Sale ___________________________________   *

Item Description Price Each Qty Total
Yard Signs
18x24" 2-sided w/wire stand
colors - our choice

Name of sale: _____________________________

Cross streets: ________________________________

Date of sale:________________________


$20.00 each    
Webpage 1 page advertisement
Body of page to include any information you provide
Layout to match site
printable contract
(you provide MS Word document or text file)
$10 / 6 mo
$20 / 1 yr
      SUBTOTAL $
(call to check on additional fees)
$17.50 for every 5 yard signs, $1.50/each add. sign    
Sales Tax Please provide your sales tax ID number for your church, school, or other non-profit organization, or add 6% sales tax to your order.    



Additional Comments? 

Please print and mail in your form with your payment made out to "". Make yourself a copy to keep for your records. If you want an actual receipt, you must include a self-addressed stamped envelope with your contract, or a fax number. You will be contacted shortly with further details on your order, such as pick-up arrangements or shipping fees. As always, if you have any comments or questions regarding your order, please feel free to email us at any time: 

Signature________________________________________________ Date______________________

Check payable to: | Mail to: Mom2MomList, PO Box 526, Roseville, MI 48066