BROWN PAPER PATTERNS ORDER FORM
SHIPPING INFO
Name:
Email:
Address:
City:
State:	AL AL AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY
Zipcode:
Phone: (XXX-XXX-XXXX)
Select Product	-- SKIRT PACKAGE ONE ($17.00) TOP PACKAGE ONE ($17.00) PANT PACKAGE ONE ($17.00) THREE PATTERNS SET ($45.00)
BILLING INFO (Billing address must match Shipping Address) Credit Card
Name on Card
Type	MCVISAAMEXDISC
Number
Security Code [What's This?]
Expiration (MO/YR)
OR DOWNLOAD PRINTABLE MAIL ORDER FORM (PDF FILE) *NOTE: All CALIFORNIA residents will be billed an additional 8.25% for California sales tax.
A sales representative will contact you prior to billing your credit card to confirm information. Please list keyword(s) for confirmation.