ORDER FORM
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Name:_________________________________

Address:_______________________________

______________________________________

State:__________ Zip Code:_______________

Telephone:_____________________________

E-Mail: ________________________________

Print out this order form and mail to:

Shelley J. Greener
500 North Ohioville Road
New Paltz, NY 12561

Or phone:    (845) 853-6683
Make checks or money orders payable to Shelley J. Greener

ITEM COLOR PREFERENCE UNIT PRICE QUANTITY TOTAL COST
Blue Lace Pattern Book   $20.00    
Forest Tree Skirt
(#214)
  $8.00    
Flores Brillantes
(#213A)
  $8.00    
Sunrise/Sunset Pattern
(#108)
  $8.00    
In The Jungle - Throw/Queen
(#112)
  $10.00    
Maple Tree Pattern
(#203)
  $10.00    

Billfold Sewing Kit - Pattern
(#204)

  $12.50    
The Sewing Bag - Pattern
(#205)
  $10.00    
Christmas Tree Skirt Pattern
(#207)
  $8.00    
Mountain Road Pattern
(#209)
  $8.00    
Rose In A Vase
(#210)
  $8.00    
Apple Basket - 23" x 28"
(#211)
  $8.00    

Billfold Sewing Kit

  $25.00    
The Basket Sewing Bag   $36.00    
Designer Purse Pattern
(#306)
  $15.00    
Designer Purse Notion Kit
(#306)
  $6.00    
Low Rider Tote   $7.00    
Merchandise Total  
Shipping Charges Total  
Sales Tax (NYS - 7.75%)  
TOTAL  

Shipping Charges Per "Ship To Address:"

Merchandise Total

Shipping Charges

under $19.99 $2.00
$20.00 - $45.99 $4.00
$46.00 - 75.99 $6.00
$76.00 and up $8.00

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Revised: April 25, 2010
Phone/Fax: (845) 454-7242
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