|
Name: _____________________________________________________
|
|
Address: ___________________________________________________
|
|
City, State, Zip:______________________________________________
|
|
Telephone: ( ) _________________________________________
|
|
Email:_____________________________________________________
|
|
Total
|
|
|
Shipping and Handling*
|
|
|
WI Residents add 5% tax
|
|
|
Total Due
|
|
Pattern #
|
Piece #
|
Title
|
Quantity
|
Price Ea.
|
Total
|
