Queen Anne's Lace Kaleidoscopes Order Form

• Print the order form and mail it with a money order to:
  Alice Houser 835 Pond Road Spruce Pine, NC 28777
• 828-765-0362      alice@kscopes.net
  
• Or send me an email with the details of your order. Pay through to scopes@main.nc.us
  

• Shipping, Handling & Insurance Charges: $10.00 per scope. NC Residents, please add sales tax according to your county of residence.
• Refer to the Home Page for prices of individual kaleidoscopes.
  

Shipping Address:

Name:_____________________________Date:____________

Street Address:________________________________________

City/State/Zip Code:___________________________________

NC residents --  please add your county for proper county sales
                         tax credit to be assigned.  _________________

Phone Number:________________Email:___________________

Items and Prices

__________________________________$_______________

__________________________________$_______________

__________________________________$_______________

__________________________________$_______________

Subtotal...............................................................$_______________

Shipping & Handling.............................................$_______________

Sales Tax (NC Residents Only).............................$_______________

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