ORDER FORM FOR FABRIC ART STOLES
Jan Laurie * 1647 Sheriff Way * Nanaimo, B. C. * Canada * V9T 4A4
Phone: (250) 751-1885, Fax (250) 751-1865 * jmlaurie@telus.net

CONTACT NAME___________________________________________________

TELEPHONE #_____________________________________________________

E MAIL ADDRESS __________________________________________________

STOLE INFORMATION

q Single Sided US$ 225./ CAN $225

q Reversible (different season on each side) US$ 325./ CAN $325.

Seasons/colours wanted______________________________________________

*If ordering an Advent stole please indicate blue or purple*

Is this stole for you or someone else? _________________________

Aprox. height of the user of this stole? _________________________

What denomination is the user of this stole? ____________________

PAYMENT ENCLOSED q SEND AN INVOICE q

BILL TO(Include name & title) __________________________________________

ADDRESS WHERE STOLE WILL BE SENT

_________________________________________________________________

SPECIAL NOTES___________________________________________________

SIGNATURE___________________________ DATE_______________

Postage & applicable taxes/duty will be extra.
Please allow 4 weeks for delivery