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Order Form - Mail To: |
Order Date: |
Stitchworm
5277 Park St. N.
St. Petersburg, FL 33709
Email: Stitchworm@Verizon.net
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Special Note: |
| Customer Information |
Credit Card Info (If credit card
payment) |
| Circle One: Master Card, Visa, Discover, or
American Express |
| Name: |
| Street: |
Card #: |
| City: |
State: |
Zip: |
Expiration Date (MM/YY): |
| Phone: |
Email: |
CVV (on back of card): |
| Quantity |
Item # |
Description |
Color |
Price |
Total |
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| All returns MUST be accompanied by this
bill. |
Sub Total $: |
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| Make checks payable to: Stitchworm! |
+ Shipping $: |
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| + 7 % Sales Tax FL $: |
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| Thank you for your order! |
Enclosed $: |
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| For wholesale orders or special
shipping rates, please contact us for prices and shipping
costs. |
Shipping is by Weight: Priority Rates -- US |
Canada |
Mexico |
Overseas |
| 0.1 to .99 lbs. $ 4.50 1 to 1.99 lbs. $ 5.50
2 to 2.99 lbs. $ 7.503 to 3.99 lbs. $ 9.50
4 lbs. and up $ 15.00 |
$ 20.00 $ 21.75
$ 23.50$ 25.25
$ 30.00 |
$ 20.00 $ 23.75
$ 27.50$ 27.50
$ 35.00 |
$ 26.00 $ 30.00
$ 35.00$ 40.00
$ 50.00 |
