Print Out & Complete This Form. Thank You For Your Purchase.



		Print & Mail This Form Completed Along With Check Or Money Order To

			Pamela Gotham 1311 NorthWoods Rd Hermon Ny 13652

				Pam's Creative Crafts Order Form

			Wooden Pull Toy's

	Item Quanity Price S/H 001- Rooster-Black $6.00/EA $5.00 002- Hen-Brown $6.00/EA $5.00 003- Hen-White/Brown $6.00/EA $5.00 004- Duck-White/Green $6.00/EA $5.00 005- Duck-Brown/White $6.00/EA $5.00 006- Poodle-Black $6.00/EA $5.00 007- Bear-Tshirt $6.00/EA $5.00 008- Snail-Yellow/Brown $6.00/EA $5.00 009- Dog-Brown/Spotted $6.00/EA $5.00 010- Frog-Red/Tshirt $6.00/EA $5.00

TOTAL AMOUNT DUE $_______________
Lawn & Garden

	Item Quanity Price SH

			001- Duck-White $3.00/EA $3.95 002- Horse-Black $3.00/EA $3.95 003- SunFlower- Yellow/Black $3.00/EA $3.95 004- Hen-White $3.00/EA $3.95 005- Butterfly-Yellow/Black $3.00/EA $3.95 006- Dalmation-B/W/Spotted $3.00/EA $3.95 007- Tulip- Red $1.00/EA $3.95

			TOTAL AMOUNT DUE $_______________

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