PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO:

Country Stitches
1122 N. Lake Ave. - P.o. Box 583
Storm Lake, Iowa
United States  50588
Phone #: 712-732-5419
Fax #: 712-732-5419
Email: order@countrystitchesonline.com

Circle Payment Method:          Check    Money Order    VISA    MasterCard      

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Item Name and Description

Quantity

Price

     
     
     
     
     
     
     
     
     
     
     
     
     
 
   

Subtotal:  

   

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Iowa residents must add 5% sales tax-   
   

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Thank you for shopping at Country Stitches.