PRINT THIS ORDER
FORM AND MAIL WITH PAYMENT
PO Box 224 |
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Circle Payment Method: Check Money Order |
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| Name:(print & signature) | |
| Address: | |
| City: | |
| State & Zip: | |
| Telephone: | |
| Email: | |
Item Name and Description |
Color |
Price Each |
Quantity |
Total |
Adult Rocker Set |
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$45.00 |
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Child Rocker Set |
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$20.00 |
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Bench Pad (Specify Length): |
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$14.50 per ft. |
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Seat Cushion |
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$14.50 |
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Sampler Afghan 4' x 5' |
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$240.00 |
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Sampler Afghan 5' x 5' |
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$290.00 |
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Snoflake Afghan |
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$240.00 |
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Baby Feather and Fan Afghan |
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$50.00 |
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Subtotal: |
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Shipping and Handling: |
$6.50 |
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Minnesota Residents Please Add 6.5% Sales Tax: |
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Please allow 3 - 4 weeks for delivery. |
Total : |
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