PLACE ORDER BELOW
Qty.	Item	Price	Amount Due
	Personalized Wedding Sampler	$145.00
	United in Love Sampler	$150.00
	On Your Wedding Sampler	$135.00
	Anniversary Sampler	$160.00
	Bridal Photo Album	$ 46.50
	Ivory Wedding Photo Album	$ 44.50
	Heart Sampler	$120.00
	Heart Shaped Sampler	$135.00
	Floral Border Sampler	$120.00
	Rose Bird Seed Holders	$35.00/dozen
	Satin Ring Pillow	$55.00
Shipping/Handling (See Chart Below)
Total Amount Due

Item Ordered	S&H
Framed Samplers	$7.50
Photo Albums	$6.95
Ring Bearer Pillow	$3.90
Rose Bird Seed Holders	$3.90

Required Information
Bride's Full Name:
Groom's Full Name:
Wedding Date:

Please use this space for custom color or other special instructions.

For the Personalized Wedding Sampler, please include a copy of the actual wedding announcement. We ask that you please allow us 3-4 weeks for delivery as each item is hand-stitched.

Customer Information:

Name_____________________________________________________

Address__________________________________________________

City_____________________________________________________

State____________________________________________________

Zip Code_________________________________________________

Country__________________________________________________

Phone Number_____________________________________________

Email Address____________________________________________