Carolina  Homespun        O R D E R   F O R M
Name:_________________________________________________________ Date:_______________
Farm/Business:_____________________________________________________________________
Address:___________________________________________________________________________
__________________________________________________________________________________
Telephone: _____________________________(day)     __________________________________(eve)

E-Mail:_____________________________________________________________________________
ITEM# CATALOG # DESCRIPTION QTY PRICE TOTAL
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Shipping (for Continental US orders only)
Up to $10.00..............$4.95
$10.01-$25.00............$6.95
$25.01-$50.00............$8.95
$50.01-$75.00............$9.95
$75.01-$100.00.........$10.95
$100.01-$150.00.......$12.95
$150.01-$299.99.......$16.95
Orders $300 and more:  FREE!		 SUBTOTAL
CA Residents add 7.25% Sales Tax
SHIPPING
TOTAL
 
 
 
 
Payment: ___Check ___Money Order ___VISA ___MasterCard ___ American Express ___Discover

Credit Card Number:_____________________________________________________

Name on Credit Card_____________________________________________________

Expiration Date:_______ CVV Code:______  Signature:_____________________________________

Thank you for your order! Please mail order to:

Carolina Homespun
455 Lisbon Street
San Francisco, CA 94112 
(415) 337 - 6876    (800) 450 - SPUN