Print and fill out this mail-in order form and mail along with your check, Money Order or Cashier's Check to: HeartScribe Publishing & Prints Deb Allen 830 S. 69th St. Springfield, OR 97478-7377 |
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Your name: |
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Your street or PO box address: |
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Your city, state and zip code: |
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| Your contact information in case of any problem with order (your email address and/or telephone number): |
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Check off each item ordering, indicate quantity and total price each row: |
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| 001 Wings Bookmark | ___quantity ordering x $3 each = |
$ | |
| 002 Birdhouses Bookmark | ___quantity ordering x $3 each = |
$ | |
| 003 Seagull Bookmark | ___quantity ordering x $3 each = |
$ | |
| 004 Bleeding Heart Bookmark | ___quantity ordering x $3 each = |
$ | |
| 005 Shining Stars Bookmark | ___quantity ordering x $3 each = |
$ | |
| 006 Quiet Bee Bookmark | ___quantity ordering x $3 each = |
$ | |
| 007 Buzz Dragonfly Bookmark | ___quantity ordering x $3 each = |
$ | |
| 008 Heart Sunset Bookmark | ___quantity ordering x $3 each = |
$ | |
| 009 Horsetails Bookmark | ___quantity ordering x $3 each = |
$ | |
| 010 White Iris Bookmark | ___quantity ordering x $3 each = |
$ | |
| 011 Beesness Bookmark | ___quantity ordering x $3 each = |
$ | |
| 012 To Fro Bookmark | ___quantity ordering x $3 each = |
$ | |
| 013 Love Crater Lake Bookmark | ___quantity ordering x $3 each = |
$ | |
| 014 Squirrel Nuts Bookmark | ___quantity ordering x $3 each = |
$ | |
| 015 Yellow Flower Bookmark | ___quantity ordering x $3 each = |
$ | |
| 016 Tulips Bookmark | ___quantity ordering x $3 each = |
$ | |
| 017 Bee Hairs Bookmark | ___quantity ordering x $3 each = |
$ | |
| 018 Fire Bookmark | ___quantity ordering x $3 each = |
$ | |
| 019 Elk Sign Bookmark | ___quantity ordering x $3 each = |
$ | |
| 020 Frog Cross Bookmark | ___quantity ordering x $3 each = |
$ | |
| 021 Trial Trek Bookmark | ___quantity ordering x $3 each = |
$ | |
| 022 Salt Creek Bookmark | ___quantity ordering x $3 each = |
$ | |
| 023 Trans Light Bookmark | ___quantity ordering x $3 each = |
$ | |
| 024 Subtle Thunder Bookmark | ___quantity ordering x $3 each = |
$ | |
| 001-024 HeartScribe's 1st Collector Set One of each bookmark, all 24 for $63 |
___quantity ordering x $63 each = |
$ | |
| Sub-total cost for all items ordered: | $ | ||
| Add in Shipping & Handling charge from table on web site shipping/etc. page: | $ | ||
| Grand Total (total of item costs and shipping/handling charge): (amount you are enclosing a check or money order for with this order) |
$ | ||
| For every 11 bookmarks ordered please list the item number and name of which bookmark(s) you'd like to receive free (do not include Collector Set count because you already receive 3 bookmarks free within that purchase item): ___________________________________ ___________________________________ ___________________________________ ___________________________________ |
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