PRINT THIS ORDER FORM AND MAIL WITH PAYMENT
(please make check or money order payable to Patti Pate)
4783 Golden Pond Lane, White Bear, MN 55110
E-Mail:
rubyk@winternet.com
phone: (651) 325-5577

Circle Payment Method:          Check   Money Order

Name:(print & signature)
Address:
City:
State & Zip:
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Item Name and Description

Price

Quantity

Total

Silouette Subject #1 (includes left and right silhouettes)
Special Instructions:
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$40.00

   

Additional Silhouette Copies

$20.00

   

3x5  Frame  (Please indicate Black or Cherry Wood)

$25.00

   
5x7  Frame  (Please indicate Black or Cherry Wood) $40.00

8x10  Frame  (Please indicate Black or Cherry Wood) $50.00


Silouette Subject #2 (includes left and right silhouettes)
Special Instructions:
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$40.00

   

Additional Silhouette Copies

$20.00

   

3x5  Frame  (Please indicate Black or Cherry Wood)

$25.00

   
5x7  Frame  (Please indicate Black or Cherry Wood) $40.00

8x10  Frame  (Please indicate Black or Cherry Wood) $50.00


Silouette Subject#3 (includes left and right silhouettes)
Special Instructions:
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$40.00

   

Additional Silhouette Copies

$20.00

   

3x5  Frame  (Please indicate Black or Cherry Wood)

$25.00

   
5x7  Frame  (Please indicate Black or Cherry Wood) $40.00

8x10  Frame  (Please indicate Black or Cherry Wood) $50.00


Gift Certificates  (Please indicate your preferred amount)



Subtotal:

 

Shipping and Handling: ($5.00 per order)

 

St. Paul, MN Residents Please Add 7% Sales Tax. All other Minnesota residents add 6.5% Sales Tax:

 

Please allow 2 - 3 weeks for delivery.

Total :

 

This form will print best in your printers "Print in Landscape" mode