Use the Following Form to Place an Order

Product Selection: Qty Description Hand Towel Set (Set of 2)...................... $15.00 Hand towels are WHITE unless otherwise specified Table Runner (each)............................ $25.00 Choice of White or Black Satin Pot Holders (each).............................. $6.00 Shipping and Handling Charges are $5.00

Delivery Information: Name: Company: Address 1: Address 2: City: State: Zip Code: Country: Voice Phone: Fax: Email:

PRINT ORDER FORM, CIRCLE CANINE YOU WISH TO ORDER, AND SEND TO: EMBROIDERY HOOP P.O. BOX 293717 LEWISVILLE, TX. 75029-3717 MAKE CHECKS PAYABLE TO: GINGER KIEFFER