PRINT THIS FORM AND MAIL TO:

Pam's Patterns                                          NAME___________________________

602 Parkway Rd.                                      ADDRESS________________________

Brandon, MS 39047                                 CITY_______________STATE_______

Make checks or money orders                      ZIP______________________________

payable to: Pam McClung                          EMAIL ADDRESS_________________

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Name of item                           Qty.                   Price                     Total            

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Shipping and Handling Charges           Merchandise Total________________________

 Order Total                  Add               Add Shipping and Handling Charges________

 $ 0.00 to $10.00          $3.50             (See chart to left)

$10.01 to $20.00          $5.50             Total Amount Due_______________________

$20.01 to $40.00          $7.45             (Make checks or money orders payable to:

$40.01 to $70.00          $8.45              Pam McClung

$70.01 & over              $9.50