Sticks & Stitches Mail Order Form

Print this this form on your printer. Complete all sections by printing clearly and mail to the address
below with a money order or specified payment information.

Name: Ship To:
Address: Name:
City: Address:
State & Zip Code: City:
Phone: State & Zip Code:
Email Address: Phone:
Item # Item Description Fabric# Qty Price Ea Total
           
           
           
           
           
           
           
           
           
           
           
           

Make checks payable to: Sticks & Stitches and mail to:
3756 Oak Hill Rd., Marietta,NY 13110

Phone(315) 696-5075
-NYS residents must include sales tax at rate for the County where the items are being delivered.
-All orders shipped via the UPS unless otherwise arranged.
- There is an additional shipping charge of $7.00 on 112 & 130 inch curtain rods.
-You will receive order confirmation by email.

Subtotal(a)  
Shipping(b)  
SubTotal w/Shipping(c)  
Tax=(Tax %x Total in c)  
Total  
Merchandise Total: Shipping:   Merchandise Total: Shipping:
up to $20.00 $7.95   $60.01 - $80.00 $12.95
$20.01 - $40.00 $8.95   $70.01 - $100.00 $15.95
$40.01 - $60.00 $10.95   $100.01 is $15.95 + 5% of amount over $100.
MasterCard___ Visa___ Expiration Date: ____/____ Card Code (CVS): __ __ __
Account # __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
Signature (is required on all Mail Orders)

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