Designs By Phyllis Stafford

Order Form

For mail in orders please print this form and mail with payment to the address bellow.

Qty	Kit No.	Kit Name	Unit Price	Total
			Subtotal
			Shipping Charges inside USA	Free
			Shipping all other countries	$3:00
			Total Enclosed

 

Customer:                                                                  Ship to: (If different from customer address)

Name:___________________________                        Name:___________________________

Address:_________________________                        Address:_________________________

________________________________                         ________________________________

City:____________________________                         ________________________________
State:_______________Zip_________                          State:_______________Zip_________

Telephone:_______________________                        Telephone:_______________________

E-mail(optional)____________________________

Mail Order Form with check or money order made payable to:

                                                                                          Phyllis B. Stafford

                                                                        90 Brandywine Lane

                                                                        Suffield, Ct    06078

Please remit funds in US dollars

Allow 1-2 weeks for delivery

If you have any questions please  contact us