Order Form
Ship to: ___________________________________________
Simply print form, ___________________________________________
fill it out, '
and mail it to: ___________________________________________
A Stitch In Time '
Box 235 ___________________________________________
Rockville, MN 56369 '
ITEM # QTY DESCRIPTION PRICE EACH TOTAL
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Outside North America: Add 20% to TOTAL SUBTOTAL ________
Canadian orders add: MINNESOTA ADD 6.5% TAX ________
$.50 per pattern / $1.00 for supplies
COUPON DISCOUNT ________
US funds only CK/MO VISA/MC accepted
SHIPPING ________
Card type: VISA / MASTER CARD
(Circle one) TOTAL ________
Exp. Date __________ Card # __________________________
Signature ______________________________________________
"A Stitch In Time", Box 235NT, Rockville, MN 56369
phone: 1-800-503-5846 or 1-320-255-1067
fax: 1-320-255-0071
e-mail: astitch@cloudnet.com