OrderForm

Embroidery Garden

Print out this form, fill in your order, & mail it to me with your check or money order.

I will e-mail or send you the designs on a CD, whichever you prefer.

MAKE PAYABLE TO:

Rowena Wilcoxson

16 - 81st Avenue

Schererville, IN 46375

LIST DESIGNS WANTED: Remember to include size wanted, if offered in more than one size

Make sure designs will fit your hoop! No refund or exchanges

FORMAT: Circle one ~ PES HUS DST JEF OTHER: ______

____________________________________________________

_{____}_{Send designs via e-mail Your
e-mail address:}_{_______________________________________}

_{_____}_{Send
designs on a CD NOTE: Add $10.00
to
order to cover CD and priority mail shipping.}

Name:

Address:

City, State, Zip:

_{Total cost for
designs $}_{_______}

_{Shipping, if any}_$_{_______}

_{TOTAL $_______}