Pg. Item/Design Qty Price
Each 		Wt. P&H
Ship 		Total
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Due to frequent problems with mail, please protect your purchases with insurance. I can no longer be responsible for lost or damaged items that are not insured. Insurance .
Thanks!
 Total .
Insurance Rates:
$ 0.01 to $50 =$1.65
$50.01 to $100 = $2.05
$100.01 to $200 = $2.45		 Make check or
Money Order Payable to:		 Pat Showalter
17317 Fales Road
Snohomish, WA 98296-5043
(360) 668-4559 Kindersnstuff@aol.com

Name: ____________________________________________
Address: __________________________________________
City: ___________State: ___________Zip:________________
E-mail:___________________ Phone: ___________________

Address Label/ Message Text
(Maximum 4 Lines)
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Christmas Card Text: (Maximum 6 lines)
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Please provide payment in full with your order. --Sorry, no C.O.D.



Text Style: ________________
You can choose to order either by printing off this form, filling it out, and mailing it with
your check or money order; or you can e-mail your order, wait for confirmation of the total
plus shipping, and pay via PayPal payable to Kinderzed@aol.com.
E-mails are checked at least once a day, and usually more often.