| Please complete and
return the order form below to us with your payment:
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CROSS-STITCH ORDER FORM
DEERFIELD SOCIETY OF BLUE
AND WHITE CROSS-STITCH
MEMORIAL HALL MUSEUM
8 Memorial Street, P.O. Box 428
Deerfield, Massachusetts 01342-0428 |
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| Name |
__________________________________ |
Date |
______________________ |
| Address |
__________________________________ |
| Day
Phone
|
__________________ |
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| City |
__________________________________ |
State |
______ |
Zip |
_____________ |
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| *Shipping;Continental
US orders only, for international orders contact us at pvmaoffice@deerfield.history.museum. |
| Enchanted
Forest Kit |
___________________ |
@
$24.00 each |
_________________ |
| Linen
Color |
_________________________________________________ |
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|
|
|
| Rose
Standards Kit |
___________________ |
@
$24.00 each |
_________________ |
| Linen
Color |
_________________________________________________ |
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|
|
|
| Vine
And Fig Tree Kit |
___________________ |
@
$24.00 each |
_________________ |
| Linen
Color |
_________________________________________________ |
|
| Shipping $5.00; please add $1.00 for each additional
kit |
| Mass.
Residents 5% Sales Tax |
|
_________________ |
| Shipping |
|
_________________ |
| Total |
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_________________ |
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__CREDIT CARD VISA_________ MASTERCARD_________ AMOUNT$_________
CREDIT CARD NUMBER _________-_________-_________-________
EXP.___/___
SIGNATURE __________________________________________*
CVV# __________
(*Last 3 digitsof security code in signature
block on the back of the card)
|
| Personal checks
and money orders accepted as payment. Please make checks payable to
P.V.M.A. Prices are subject to change without notice. Thank you for
your order. |
|
| *Shipping;Continental
US orders only, for international orders contact us at pvmaoffice@deerfield.history.museum. |
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