Order Form

STORYBOWLS

By Martha S. Heimbaugh

Order Form

To purchase a pattern:

	1. Print out this page on your computer.
	2. Neatly print the required information on the form.
	3. Mail your form and check to the address given below.
	4. Wait 4 to 6 weeks to receive your pattern in the mail.

Note: If you provide me with an email address, I will email you back to notify you that I have received and shipped your order. I will not save your address or disclose it to any other person or business.

Inside the USA, please write your name and shipping address below:

Name___________________________________________________

Street Address____________________________________________

City_____________________________________________________

State____________________________________________________

Zip Code_________________________________________________

Outside the USA, Please write your name and shipping information below and please email me ahead of time so I can give you a shipping quote:

_________________________________________________________

Please print below any personalized message you would like me to write on the pattern envelope. Also, indicate if you would like an autographed pattern.

_________________________________________________________

Email address (If you would like me to notify you of receipt and shipment of your order.)

___________________________________________________________________

Make your check payable in U.S. funds out to Martha Heimbaugh.

Send your check or money order made out to, Martha Heimbaugh, in the amount of $10.99 to:

Martha S. Heimbaugh
Heimbaugh Studios
P.O. Box 471
Basehor, KS 66007 USA

	Website and all images Copyright © 2004- 2009 Martha S. Heimbaugh, Heimbaugh Studios
	All rights reserved. No image or text may be reproduced without the express permission of the owner of copyright.
	Website designed and constructed by Martha S. Heimbaugh