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Mail order to:                                     Phone/Fax to:970-639-2181

Country In The City                           

245 Vista Valley Drive             RETAIL ORDER FORM

Fruita, CO  81521

Name:_______________________________      Date:_______

Address:______________________________

City:_____________________________ State:_____________

Zip:________  Country:_____________      E-mail ________________

Day phone:__________________ Eve.phone:_________________

Item#                      Description                             Qty.            Price             Total

 Method of payment

*Check*   *Visa*   *MasterCard*      *COD*  

Card#________________________________________________________              ExpDate_________

Name on Card__________________________________________________

Signature_______________________________________________________

SHIPPING

We ship:- US Mail - Priority Mail - UPS-

We will choose the most cost effective means for each order.

A basic shipping chart follows:

*Add 75cents per pattern($1.50 with resin face)

  or use chart, whichever is cheaper.

*$ 0.00-$10.00  Add $2.50

*$10.00-$25.00 Add $3.50

*$25.00-$50.00 Add $4.75

*over  $50.00   Add $5.00

*COD add additional $4.75 to above rates*

International Customers must inquire of rates.

***No returns on patterns. Our policy is not to accept returns or exchanges unless merchandise is defective.