PRINT THIS ORDER FORM AND MAIL WITH PAYMENT
(please make check or money order payable to Sam & Brenda's Gifts)
Sam & Brenda's Gifts

PO Box 224
Stillwater, MN 55082
E-Mail: rubyk@winternet.com

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Name:(print & signature)
Address:
City: Credit Card Number:
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Item Name and Description

Price Each

Quantity

Total

(A) Barnstyle Birdhouse #29597

$15.95

   

(B) Old Man In The Shoe #30202

$19.95

   

(C) Granny's Inn #29599

$17.95

   

(D) Heavenly Gazebo #30209

$14.95

   

(E) Nautical Nest #30208

$14.95

   

(F) Wedding Chapel #30706

$19.95

   

(G) Park Ranger #30668

$16.95

   

(H) Gingerbread Style Birdhouse #30206

$21.95

   

(I) Home Tweet Home #29354

$16.95

   

Subtotal:

 

Shipping and Handling Chart:
These charges represent only a part of the actual costs. We'll pay the rest.
If your order is:
up to $14.99...add $4.95
from $15.00 to $19.99...add $5.25
from $20.00 to $24.99...add $5.55
from $25.00 to $29.99...add $5.95
from $30.00 to $34.99...add $6.75
from $35.00 to $39.99...add $7.75
from $40.00 to $44.99...add $8.75
from $45.00 to $49.99...add $9.35
over $50.00...add $9.75

 

Minnesota Residents Please Add 6.5% Sales Tax:

 

Please allow 3 - 4 weeks for delivery.

Total :