PLEASE PRINT CLEARLY!

 Buttoned I-Cord Pouch   

 Sam the Ram  

(see above)

(see above)

 Subtotal from any additional items on a separate sheet
(please include your name and address on that separate sheet and then attach it to this form)

Subtotal  

Sorry -- no credit card options available at this time, so please pay by including 

a check or money order made out to Earth Heart Designs

TOTAL  

DO WE ALREADY HAVE A COPY OF YOUR TAX FORM ON FILE?

IF NOT -- YOU MUST INCLUDE A COPY OF YOUR TAX CERTIFICATE WITH THIS ORDER

or we cannot fill your order at wholesale prices

Mail your order to:

Earth Heart Designs

P.O. Box 18065

Duluth, MN USA   55811

Questions?

  Call 218-729-6250

or email oconnell@earthheartdesigns.com

http://www.earthheartdesigns.com

 SHIPPING CHARGES:

 All items are shipped via the U.S. Postal Service

 First Class:

  $  5.00 if order subtotal is $ 20 or less

  $  6.00 if order subtotal is $ 20.01 to $ 40.00

  $  7.00 if order subtotal is $ 40.01 to $ 60.00

  $  8.00 if order subtotal is  $ 60.01 to $ 80.00

  $  9.00 if order subtotal is  $ 80.01 to $ 100.00

  $10.00 if order subtotal is  $ 100.01 to $120.00

  $11.00 if order subtotal is $120.01 to $140.00

  $12.00 if order subtotal is $140.01 to $160.00

  $13.00 if order subtotal is $160.01 to $180.00

  $14.00 if order subtotal is $180.01 to $200.00

Priority Mail (2-3 day delivery):

  add $ 3.00 surcharge if order subtotal is $ 40.00 or less

  add $ 5.00 surcharge if order subtotal is $ 40.01 to $ 80.00

  add $ 7.00 surcharge if order subtotal exceeds $ 80.00

Express Mail (overnight - perhaps):

  add $ 11.00 surcharge if order subtotal is $ 40.00 or less

  add $ 17.00 surcharge if order subtotal is $ 40.01 to $ 80.00

  add $ 23.00 surcharge if order subtotal exceeds $ 80.00

Outside the USA?

  Phone or email for information on delivery