Heirloom Stitches by Dolores - Mail Order Form
Address: P.O. Box 17, Jackson, NJ 08527 Order by phone :1.732.513.5750 Website: www.stitchesbydolores.com

ITEM CODE QTY COLOR ITEM DESCRIPTION PRICE EACH TOTAL
        $ $
        $ $
        $ $
        $ $
        $ $
        $ $
        $ $
        $ $
      MERCHANDISE TOTAL : $
     

SHIPPING & HANDLING

Please add for shipping & handling

Up to $10.00 add $3.99
$10.01 to $15.00 add $4.99
$15.01 to $25.00 add $5.99
$25.01 to $40.00 add $7.99
$40.01 to $60.00 add $9.99
$60.01 to $80.00 add $11.99
$80.01-$100.00 add $13.99
$100.01 to $200.00 add $14.99
Over $200.00 add $15.99

$
        SUBTOTAL: $

Add Sales Tax on Subtotal For shipments to NJ add 7%

$
TOTAL AMOUNT ENCLOSED $
Delivery Time = approx. 6 - 8 weeks from date of order
CUSTOMER INFORMATION
Daytime Phone#:
- In case we have a question about your order.
Print your E-mail address here:
- To receive order receipt and shipment notifications and special orders.
- We do not sell your e-mail address.
Are the shipping and billing information the same? circle one Yes or No
Shipping Information:
Name:
Address: Apt #:
City: State: Zip Code:
Billing Information:
Name:
Address: Apt #:
City: State: Zip Code:

All items ordered from the USA will be shipped thru priority mail, with in 6 - 8 weeks from date of order. (Unless otherwise notified). International orders please check with me before you order for shipping cost.

Refund or exchanges will be made 30 days from the date of Purchase; we will refund the entire purchase amount upon receiving the entire order returned in good condition. We will gladly do exchanges upon receipt of order.

**shipping of returned items will be paid for by the purchaser.

Special orders are always welcome, Please email me to make that special doll for you!