ORDER FORM
To order any of the items displayed on our site please call 717-244-3220
. You can also print out this form and send a check or money order to:
GRIM HOLLOW STITCHERY
1040 Grim Hollow Road
Red Lion, PA 17356
NAME:
ADDRESS:
CITY:     STATE:      ZIP: 
PHONE:
Item #QtyDescriptionUnit PriceTotal
Shipping and Handling Charges:
Shipping of Heavy Items will be by weight
Purchase:
up to $15.00
$15.01-$30.00
$30.01-$45.00
$45.01-$60.00
$60.01-$75.00
$75.01-$100.00
$100.01-$150.00
$150.01 and up		 Shipping Charge:
$4.00
$5.50
$6.50
$7.50
$8.50
$9.50
$10.50
$11.50
Foreign Order:Please specify Air or Surface Parcel Post. Shipping will be adjusted accordingly.
 SubTotal
Sales Tax (6% for PA Resid. Only)
S/H Total
Total Due
Please indicate Method of Payment (Circle One): Check    Visa    Mastercard    Discover
Credit Card # |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Exp. Date ____/_____
Signature ___________________________________________
RETURNS
No returns unless preauthorized by Grim Hollow Stitchery
Email: grimhollow@verizon.net
Phone: 717-244-3220
Site Design and Maintenance By: Arastone Internet Inc.
©1999 Arastone Internet Inc. and Grim Hollow Stitchery