Name: ________________________________________________________________
Business name or guild:________________________________________________
Mailing Address: ______________________________________________________
City:_____________________________________ State:_______ZIP:_____________
E-mail:__________________________________ Phone:_______________________
Tax #:__________________________________________ Make cheques payable to: PrairieWood Basketry
Cheque or money order must accompany order; US funds only .
PrairieWood Basketry
Item Description
How Many
Item Price
Total Price
Order total______________
Wisconsin residents 5.5% sales tax______________
Shipping & Handling(see chart below)______________
Total______________
Shipping and Handling prices quoted for US orders only. Orders shipped USPS.
For orders shipped to Canada, Mexico or overseas call for prices.
S & H
Order
Total
up to
$19.99
$20 to
$29.99
$30 to
$39.99
$40 to
$49.99
$50 to
$59.99
$60 to
$69.99
$40 to
$49.99
$50 to
$69.99
$70 to
$89.99
$90 to
$129.99
$130 to
$180
over
$180
$4.95
$5.95
$6.95
$7.95
$8.95
$9.95
$10.95
$11.95
$12.95
$14.95
$16.95
10%
:: If you are ordering ONLY patterns please use the shipping and handling guide below ::
1 - 2 patterns - $1.50 / 3 - 6 patterns - $2.50 / 7 -11 patterns - $3.50 / 12-24 patterns - $4.95 / 25 - 72 patterns $ 9.95
7029 South State Road 213
Beloit Wisconsin 53511
608.365.0714
E-mail: krazyveld@hotmail.com
Web Page: www.prairiewoodbasketry.com
Order Form
