Name:

Address:

Phone Number:

Item #

Item #

Item #

 

Quantity:	Size:
Weight:	Color:

Payment plans:
(check what applies)

Check in the mail.
Money-order.

Shipping and Handling: $0-35.00 please add $5.00
                                        $35.01 please add $6.50

Please make checks or money orders payable to: Holly Filby

Holly Filby
246 1/2 Columbia St.
Adams, Ma. 01220