Glass Quilt Ornament Order Form

The Glass Place, Louise Mehaffey, 1426 Delaware Avenue, Wyomissing, PA 19610

Patterns and colors no longer available are marked with an X.

Pattern		red	colbalt blue	pink	dark green	dark purple
	Ohio star	X	X
	Dutch rose	X	X
	Turkey tracks	X
	Robbing Peter to pay Paul	X	X
	Delectable mountains	X	X		X
	Baskets
	Bears paw	X	X
	Sunflower	X
	Tree of life				X

Size 2"x2". Size and colors will vary. Please allow 4 to 6 weeks for delivery (continental U.S.).

Total ornaments ordered_________	(updated 3/2011)($8.50 each or 3 for $23) Total
	PA residents add 6% sales tax
	U.S.only, 10% S & H- minimum $3.00
	Total Enclosed

___check (U.S. only) enclosed, made out to the Glass Place

___Visa/Mastercard #_____________________________exp_______

signature______________________________________________

Ordered by:

Name_______________________________

Address_____________________________

___________________________________

Telephone_______________________

email address____________________

Ship to:

Name_______________________________

Address_____________________________

____________________________________

These 2 pages may be printed, filled out and mailed with payment. You may also email your order and mail payment, or call (610)-334-1891.

Orders from countries other than U.S. will be accepted with international money orders or Mastercard/Visa. Call first for shipping and handling charges. Additional charges apply for overseas/international deliveries.

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