| 723
Summerhill Road ~ Hardwick, VT 05843 |
| 723
Summerhill Road ~ Hardwick, VT 05843 |
| To order by check, or money order, please print this form, complete and mail to the address above. Please include your check made out to The Paper Crane. Please allow 2-3 weeks for delivery. |
| Name_______________________________________________________________________ |
| Address_____________________________________________________________________ |
| City_________________________________________State________Zip________________ |
| Phone_______________________________Email___________________________________ |
| Item Name | Color Choice | Price | Qty. | Total | ||||||||||||||||
| EARRINGS | (Specify color A-H) | |||||||||||||||||||
| ____________________ | ________ | $___________ | _____ | $___________ | ||||||||||||||||
| ____________________ | ________ | $___________ | _____ | $___________ | ||||||||||||||||
| ____________________ | ________ | $___________ | _____ | $___________ | ||||||||||||||||
| PINS | (Specify color A-H) | |||||||||||||||||||
| ____________________ | ________ | $___________ | _____ | $___________ | ||||||||||||||||
| ____________________ | ________ | $___________ | _____ | $___________ | ||||||||||||||||
| ____________________ | ________ | $___________ | _____ | $___________ | ||||||||||||||||
| ORNAMENTS | (Specify color A-H) | |||||||||||||||||||
| ____________________ | ________ | $___________ | _____ | $___________ | ||||||||||||||||
| ____________________ | ________ | $___________ | _____ | $___________ | ||||||||||||||||
| ____________________ | ________ | $___________ | _____ | $___________ | ||||||||||||||||
| CRANE MOBILE | ||||||||||||||||||||
| Plain (Specify color A-D) | ________ | $___________ | _____ | $___________ | ||||||||||||||||
| Washi paper (Specify color A-E) | ________ | $___________ | _____ | $___________ | ||||||||||||||||
| ||||||||||||||||||||
| SUBTOTAL | $___________ | ||||||||||||||||||
| TAX (VT residents, add 6% sales tax) | $___________ | |||||||||||||||||||
| SHIPPING | $___________ | |||||||||||||||||||
| TOTAL | $___________ | |||||||||||||||||||
| Ship To (if different from billing address): ______________________________________ | Gift
Card to Read: ___________________________________________ |
| Address:_______________________________ | ___________________________________________ |
| ______________________________________ | ___________________________________________ |
| Phone: ________________________________ | ___________________________________________ |
THANK YOU FOR YOUR ORDER!
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