Water
Fountains of Hope
Custom Designed and Hand Crafted
by Larry Maizlish and Diane Maizlish
Order Form
Place Your Order
Selected
your Water Fountain of Hope? Fill out the information below to place your order.
We will personally call or email you to confirm and thank you for your order. Since each
Water Fountain is custom hand crafted at the time of your order, please ask for
delivery times.
Best Sellers and Featured Styles are crafted for you
faster. Non-featured styles are crafted on a per order basis.
Your Name
Address (Water
Fountains are delivered to the credit card billing address only)
City
State
Zip
Phone with area
code
Email Address
How did you
hear of us?
Payment
Information
Payment Method
Credit Card Number
(Visa / MC only)
Expiration Date
If paying by
check, we will contact you to arrange delivery.
Water
Fountain Information
Total of Water
Fountains $
Sales tax will
be added to your order. Delivery in our local area is available for a
small fee. If you would like to pick up your new Water Fountain at our
location in Long Beach, please call (562) 421-7105 to schedule a pick up
time. For orders outside our local area, please call for delivery
information and charges.
Note: charges appear on
your credit card statement as "CTE Computer"
Additional Comments
Thank you for
your order.
You will receive a confirmation after the
system processes your order.