Ginger's Needleworks Printable Order Form

GINGER'S NEEDLEWORKS
1001 E GLORIA SWITCH RD
Lafayette LA 70509-2047
USA & Canada Toll Free: 888-917-7847
Phone: 337-232-7847
Fax: 337-232-7813

HOME        FILL OUT THIS FORM, PRINT IT, THEN MAIL, FAX  OR PHONE IN YOUR ORDER

All orders require a phone number.
Orders without phone numbers cannot be processed and will be returned.

Do not email this order back.  Use secure online ordering instead.

Qty. Item No. Description Price Ea. Amount

Louisiana residents add 4% sales tax:
Shipping charges for all customers, see chart:
International customers  see chart for shipping, 
Total:

 

Name:
Company:
Street Address:
City, State, Zip: ,
Country
International Customers,
fill out your address the
exact way it should read.
Phone: Phone Number Required
E-Mail:
Comments:
Payment Type MasterCard Visa Amex Discover
Credit Card number exp:
CID or CVV number is
required.
This is required - Your Amex CID number is the 4
numbers above the last 4 digits of your card,  Your CVV number
is on the back of your Visa, MasterCard & Discover the 3 digit
after the last 4 numbers. See where my CID or CVV numbers are.
Signature required for 
mailing or faxing in.
___________________________________________
Fill out this order form, print it, then fax, mail or phone in your order.
For U.S. mail in orders, you may send a money order
or use your charge or debit card number.
We do not accept personal checks.

USA, Alaska, Hawaii, APO/FPO Shipping/handling/insurance charges:
If order total is Please add
Up to $15.00 $4.95
$15.01 to $30.00 $5.95
$30.01 to $50.00 $7.95
$50.01 to $70.00 $8.95
$70.01 to $90.00 $9.95
$90.01 to $120.00 $10.95
$120.01 to $150.00 $11.95
$150.01 to $170.00 $12.95
$170.01 to $199.99 $14.95
$200.00 and over Free

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