Cottage Needleworks
Order Form
Date:
SOLD TO:
Address:
City, State, Zip
Pattern #	Name	Description	QTY	Cost	Ext Cost
301	Pilgrims	Thanksgiving		$         7.00
302	Mr. & Mrs. Santa Claus	Christmas		$         7.00
303	Merry Carolers	Christmas		$         8.50
304	The Nativity	Christmas		$         8.50
306	Be Mine	Valentines		$         7.00
307	St. Patty's Leprechaun	St. Patrick's Day		$         7.00
308	Young Woman of Value	YW - 7 values		$       10.00
309	Easter Parade	Easter		$         7.00
310	Stitching Friends	3 girls stitching		$         8.50
311	Blessed Father	Father		$         7.00
312	The Red White and Blue	4th of July		$         7.00
313	Handcart Pioneers	Pioneer Day		$         8.50
314	Hippity Hoppity	Easter		$         7.00
315	Babies Are Dear Gifts	Sampler girl/boy		$         8.50
318	How Does Your Garden Grow	Gardener		$         7.00
319	Tis A Gift To Be Simple	Sampler in wreath		$         7.00
320	Pumpkin Vine	Autumn		$         7.00
321	Witchy, Witchy	Halloween		$         7.00
322	Scarecrow	Autumn		$         7.00
323	Horn A Plenty	Thanksgiving		$         7.00
324	Sunflowers	Sampler w/flowers		$         7.00
325	What Child Is This?	Christmas sampler		$         8.50
326	Cottage Birdhouse	Birdhouse on post		$         7.00
327	Christmas Elf	Christmas		$         7.00
328	"He That Riseth Late …"	Pillowcase series		$         7.00
329	Snowman Bob	Winter		$         7.00
				Subtotal
Credit Card Number				Shipping
Exp/ Date				Total
Name on card
Cottage Needleworks   Draper, Utah 84020
Phone 801-576-1098
Fax 801-572-7790
Print and fill out this form  and fax it to 801-572-7790