| Name | |
| Address | |
| City, State, Zip | |
| Phone number | |
| E-mail address | Date |
| Plain without embroidery | |||
| Qty | Item | Price | Total |
| Heirloom-- White | $29.95 | ||
| Blue | $29.95 | ||
| Pink | $29.95 | ||
| Mint | $29.95 | ||
| Lemon | $29.95 | ||
| Subtotal | |||
| Shipping and Handling | $4.00, add $1.00 for ea. additional | ||
| TOTAL |
| Form for Custom Embroidery | |
| #KA-101 HEIRLOOM -WHITE | #KA-103 MAGIC CARPET-WHITE |
| Baby's Name | Baby's Name |
| Date of Birth | Date of Birth |
| Time of Birth | Time of Birth |
| Weight | Weight |
| Length | Length |
| $ 39.95 plus $4.00 Shipping and Handling | $39.95 plus $4.00 Shipping and Handling |
We are now
set up to accept Visa and Mastercard. Please call in or e-mail
number. If prepaying, please pay in U.S. funds.
Designs by Janet Pace - P.O. Box 528 - Searcy, AR 72145-0528
janet@janetpacedesigns.com or call 501-268-8808
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