Print-able Order form

PRINT THIS ORDER FORM AND MAIL WITH PAYMENT INFORMATION TO: Olde Scotties Primitives 63 Lilac Ave Woonsocket, RI United States 02895 Phone #: 4017651646 Fax #: Email: edroy6363@cox.net
Circle Payment Method: Check Money Order
Print Name:
Address:	Email:
City:
State & Zip:
Telephone:	Signature:_____________________

Item Name and Description	Quantity	Price














Subtotal:
Shipping and Handling:
RI residents must add 6% sales tax-
MAKE CHECKS PAYABLE TO: Lois Roy	Total :

Thank you for shopping at Olde Scotties Primitives.