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Bittersweet House Folk Art

Kathryn Campbell
4040 5 Mile Road NE
Grand Rapids, MI 49525

To order by check, money order, please print this form, complete and mail to the address above.
If paying by PayPal, please add 5% of your total to amount due for processing charges.
For Paypal please pay to: KathyC828@aol.com and include the items and prices in the message of the payment.

Please allow
approx 4-6 weeks for delivery of chalkware or beeswax as each piece is individually hand crafted.

NOTE: All orders must first be confirmed by email before forwarding payment-email to: KathyC828@aol.com
Name_____________________________________________________________Date________________
Address_______________________________________________________________________________
City___________________________________________________State________Zip________________
Phone_________________________________Email__________________________________________
Payment Method ____Check _____Money Order _____Paypal ( add 5% of total for Paypal fee)
Make check payable to:
Kathryn Campbell
Item Name Description Price

Quantity

Total
______________ _________________________ $_________ _______ $________
______________ _________________________ $_________ _______ $________
______________ _________________________ $_________ _______ $________
______________ _________________________ $_________ _______ $________
______________ _________________________ $_________ _______ $________
______________ _________________________ $_________ _______ $________


Shipping & Handling Charges within USA
If your order is for chocolate molds only
please email for shipping charges.
Please confirm your order by email prior to sending payment- kathyc828@aol.com
up to $20.00 $8.00
$20.01-$30.00 $9.00
$30.01-$50.00 $10.00
$50.01-$70.00 $12.00
$70.01-$100.00 $14.00
$100.01-$150.00 $15.00
over $150.01 add 10% to the total
Insurance is optional and extra
Fee for Insurance Coverage:
Please add to total
$1.75 ................ $0.01 to $50
$2.50 ................ $50.01 to $100
$3.00 ................ $100.01 to $200
$5.50 ................ $200.01 to $300
$6.50 ................ $300.01 to $400
$7.00 ................ $400.01 to $500
$9.00 ................ $500.01 to $600
Please email for quotes on shipping outside of the USA

Please allow 4-6 weeks for delivery of chalkware items that are not in stock. Molds are shipped immediately if in stock.
SUBTOTAL $__________
5% Tax for MA residents only
 $__________
SHIPPING $__________
TOTAL $__________

Kathryn Campbell
PO Box 1247
Sherborn, MA 01770
_______________________________________________________________

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