|
SNAIL MAIL ORDER FORM |
 |
|
Name:
|
OregonPatchWorks, Inc. |
|
Address: |
PO BOX 333 |
|
|
MAPLETON, ORE. 97453 |
|
Phone: |
USA:
1-888-Lov2Sew (1-888-568-2739) |
|
|
International: 1-541-359-0879 |
|
Email: |
support@oregonpatchworks.com
|
|
|
|
|
PRINT THE
FORM,
FILL OUT ALL NECESSARY INFORMATION AND MAIL TO ADDRESS
ABOVE. PLEASE PRINT CLEARLY. |
|
|
METHOD OF PAYMENT:
(CHECK MARK ONE) |
PERSONAL CHECK |
MONEY
ORDER |
CREDIT CARD |
|
METHOD OF DELIVERY:
(EMBROIDERY DESIGNS) |
DOWNLOADS (NO FEE) |
SHIPPED CD (FEE APPLIES*) |
|
|
|
|
CITY: |
STATE: |
ZIP: |
COUNTRY: |
|
EMAIL ADDRESS: |
TELEPHONE: |
|
|
|
|
|
TYPE OF CREDIT CARD: |
ACCT #: |
|
| EXPIRATION
DATE: |
CVV2 (LAST
3 DIGITS ON BACK OF CARD): |
|
|
BILLING ADDRESS
IF DIFFERENT: |
|
|
|
| Item # |
Product Name |
Format |
Each |
Total |
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
|
*PERSONALIZED,
CUSTOM CD OF ALL YOUR DESIGNS - USA: ADD $11
INTERNATIONAL: ADD $18 |
|
FEE INCLUDES S/H,
UP TO 15 SETS PER EACH CD, ALLOW UP TO 4 WEEKS
DELIVERY TIME |
|
Subtotal |
|
| Total |
|
|