Order Form (Copy and Paste):

Marie�Louise Antiques
120 Lyme Road
Hanover, NH 03755
Tel. 603-643-4276
Fax. 603-643-4715

Buyer�s Name, Shipping Address, and Phone (No PO Boxes)

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(COMPANY) (PATTERN) (DESCRIPTION) (QUANTITY) (COST EACH) (TOTAL)

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___________________________________________________SHIPPING___________

_______________________________________________TOTAL COSTS___________

Shipping Charges:

UP TO $100.00, ADD $7.00
$100.00 TO $200.00, ADD $8.00
$200.00 TO $300.00, ADD $9.00
$300.00 TO $400.00, ADD $10.00
$400.00 TO $500.00, ADD $11.00

Payment Conditions and Returns: Check or money order. Allow 5 days for checks to clear.
Returns must be made within 5 days of receipt of items.
USA Orders Only.
Hosted by www.Geocities.ws

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