OFFICE USE ONLY
DATE REC�D:                ORDER #                    PACKER(S)                                        TYPE                         


Woven Butterfly
C/O Barbara Maddox
PO BOX 180
Strykersville, N.Y. 14145
E-mail: [email protected]


ORDERED BY:                                                                     SHIP TO: (If different from �Ordered By�)

NAME:_______________________                                        __________________________ ________
ADDRESS:____________________                                        __________________________ ________
______________________________                                       __________________________ ________
PHONE #:_____________________                                       Fax#/ E-mail:________________ ________

       Amt/Oty                    Description (please print)                              Price Ea                                 Total
1)                                                                                                                                                             * 2)                                                                                                                                                             * 3)                                                                                                                                                             * 4)                                                                                                                                                             * 5)                                                                                                                                                             * 6)                                                                                                                                                             * 7)                                                                                                                                                             * 8)                                                                                                                                                             * 9)                                                                                                                                                             * 10)                                                                                                                                                           *
       Shipping & Handling                                                                                              Sub Total                 
Under 12lb. & up to $20.00  $6.75                                                                                  NYS Tax
                
            $20.01-50.00 $8.50                                                                                            S & H   
                
            $50.01-75.00 $9.50                                                                                               UPS
            $75.01-100.00 $10.50                                                                                     Surcharge
                               Over $100 $11.50                                                                                               COD   _________ Packages over 12lbs � actual cost plus $3.00                                                                     Total                    Packages up to 2llbs � shipped Priority Mail
All others shipped UPS
Rural Customers add $2.00 UPS surcharge
Overnight, 2 or 3 day�call for price
Canada/Alaska/Hawaii: actual cost plus $4.00
           COD: $9.00 additional  


                                                                  
PLEASE NOTE:
All prices are subject to change. We do our best to keep prices low, but some factors beyond our control cause them to rise. Thank you for understanding.
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