| Adirondack Basketry Order Form |
| _QTY_ | ____Description of Item____ | Price Per | _Total_ |
| _______ | __________________________________ | _________ | __________ |
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| _______ | __________________________________ | _________ | __________ |
| Sub Total | __________ | ||
| Shipping and Handling | __________ | ||
| NY State 7.75% Sales Tax if Applicable | __________ | ||
| Grand Total | __________ | ||
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Please make your check payable to Mail your Order to
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If you wish to mail your order please include the following information
| Your Name | ________________________________________________________________ |
| Address / Zip | ________________________________________________________________ |
| Phone Number | ________________________________________________________________ |
| Shipping Name and | ________________________________________________________________ |
| address - if different | ________________________________________________________________ |
| from above | ________________________________________________________________ |
| Gift Wrapping ? | ____________________________________________________________ |
| Gift Card ? What will it say? | ____________________________________________________________ |
| Other Instructions | ____________________________________________________________ |
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