Untitled Document
Mail Order Form
CACTUS SHAK EMBROIDERY - MAIL ORDER FORM

Type your order information into the order form, print and
mail it to the address at the bottom of this page.


Address
City
E-mail Address
Phone Number
E-mail and phone number is required so that I may contact you if the need should arise

What format would you like your order in (Check only one)
 hus pes 4x4 if available pes 5x7 pes 6x10 if available jef
vip pcs if available xxx dst exp
Send the designs to me on a disk by mail. (Add $6.00 S&H to the order form)
 Send the designs to me by e-mail (no extra charge) after check processing
Make check payable to Betty Whitmire
Item Description (type info before printing)
Price
Mail To:
Betty Whitmire
1026 Cactus Lane
Olney, TX 76374
Subtotal
Add $6.00 S&H for mailed orders only
Texas - add 8.25% sales tax
Total

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