Print-able Order form

PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO: Stitches from the Hollow 2012 Blossom Lane Marshalltown, Iowa United States 50158 Phone #: 641-752-6617 Fax #: Email: shirleyk@iowatelecom.net
Circle Payment Method: Check Money Order VISA MasterCard
Print Name:
Address:	Email:
City:	Credit Card Number:
State & Zip:	Expires:
Telephone:	Signature:_____________________

Item Name and Description	Quantity	Price














Subtotal:
Shipping and Handling:
Iowa residents must add 7% sales tax-
MAKE CHECKS PAYABLE TO: Shirley Keen	Total :

Thank you for shopping at Stitches from the Hollow.