Off-Line
Order Form
   
 
 
(For Check or Money Order Payment)
  
 
Please complete the following form. Print two copies -- one for your records, and one to mail to me with your order. Then click the "Send to Barb" button at the bottom of the page to give me advance notice of your order. Finally, mail the second copy of the form to me along with your payment (by check or money order) for the full amount you owe to the Double Bar A Company, 4265 Hidden Rock Road, Colorado Springs, C0 80908. When I receive payment, your patterns will be on the way.
  
 
a. Customer Information:
  
 
I am: An individual purchaser A retailer. (Please check one*)
 
 
Asterisked items must be filled in. 'Business Name' is required only for retailers requesting wholesale pricing; but wholesale pricing is available only for orders of 6 patterns or more.  In addition, before I ship your first wholesale order, I must confirm your contact information via the internet or by phone. I will attempt to do this as soon as I receive your first order.
  
 
 
First Name*:
MI:
Last Name*:
 
 
Business Name*:
Business Web Site:
 
 
Street Address*:
 
 
City*:
St*:
Zip Code*:
 
 
Phone*:
 
Email*:
 
 
 
b. Number of Patterns Ordered:
  
 
 
Patterns
Quantity
  
Patterns
Quantity
 
 
WF-001: Colorado Columbines
 
WF-006: Touch of Tropics
 
 
WF-002: Holiday/Seasonal Wreath
 
WF-007: Lilacs & Forsythia
 
 
WF-003: Rose Bouquet
 
WF-008: Summer Blossoms
 
 
WF-004: Spring is in the Air
 
WF-009: A-Tisket, A-Tasket
 
 
WF-005: May Day, May Day
 
WF:010: Autumn Harvest
 
    Total Ordered:    
 
 
c. Amount You Owe
 
 
 
Category and Computation
Amount
1. Patterns:
$10 each ($4.50 each for retailers with a minumum order quantity of 6 patterns.*)
 
2. Shipping:
25¢ per pattern.  
3. Handling:
$1.50 per Order
 
$1.50
4. Sales Tax:
5% of pattern cost & handling for orders to be shipped to Colorado only.  
Total Amount
Add lines 1 through 4.
 
 
Home
 
Retailers Please Note: When I receive your first order, I will go to your web site or phone your business outlet to confirm your contact information prior to shipping patterns. If I cannot confirm this information I cannot ship at discounted prices and will send you a refund.
 
 

Again, please print this form for your records and mail a copy to me along with your check or money order for the full amount to 4265 Hidden Rock Road, Colorado Springs, Colorado 80908. I will mail out your patterns as soon as possible. Also, please click the 'Send to Barb' button to give me advance notice of your order.

Thank you so much for your business! Please come again!

  

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