ways to order 888-603-1206

*Instructions:* Print out Order Form and fill in quantity and price of products you wish to purchase; fill in Buyer and shipping information as requested at bottom of form and mail to address below. Make checks payable to: *Doma Designs* Nature's Heating Pads by Doma Designs Order Form
Qty.	Description	Color	Per Each	Price	Total
	AWE Pad		$20.00
	Breast Pad		$20.00
	CT Pad		$37.00
	Eye Mask		$15.00
	Eye Pillow		$15.00
	Facial Pad		$20.00
	Feet Warmers		$40.00
	Hand Warmers		$35.00
	Herbal Pillow		$18.00
	Large Back Pad		$35.00
	Migraine Manager		$20.00
	Multi-Wrap		$40.00
	Neck & Shoulder Collar		$30.00
	Neck Pad (with Strap)		$20.00
	Regular Pad		$15.00
	Small Back Pad		$20.00
Subtotal
S/H (add 15%)
Total

Buyer's Name:
Street Address:
City, State, Zip Code:
Phone No:			Email Address:
Special Instructions:


Visa/MasterCard No: Expiration Date:
3-Digit V Code:

Mail Order Form and Payment to:

    Doma Designs
    426 East Bissell Avenue
    Oil City, PA 16301

Or Fax to: 814-493-6256