FRENCH ALPHABET ORDER FORM

FRENCH ALPHABET SAMPLER

  
You may e-mail your order form to lois@elegantstitch.com or you may fax your order to 209.529.5008

Please take your time and complete your form carefully and completing all required information.  PLEASE PRINT


French Alphabet - Additional Options Pricing   Suggestion:  Print off this information to 
help you in filling out your order form!!!

FRENCH ALPHABET SAMPLER
(PLEASE PRINT FOR ABSOLUTE CLARITY)

This sampler will be personalized especially for you.  No two samplers will be alike and 
each one will be a family heirloom.  The price includes the chart personalization for you 
with the Center Initial, Surname hidden in the Sampler, 4 sets of initials
(i.e. BLS for Betty Lou Stevens), with the person's first name (or the name they go by)
hidden in the sampler, general instructions and a "snapshot" printout of the entire 411 x 411 stitch chart.

Date:   ______________________________________

Name: ________________________________________________

Street Address:   _________________________________________

City, State, Zip: _________________________________________

Telephone w/area code: ___________________________________

E-Mail Address:   _________________________________________

Credit Card No:  __________________________________________  
Exp. Date:  ____________   Three Number Security Code (CCV) _______

Pricing as Follows:  Large Center Initial and four sets of 3 initials/one name 
(everything that is marked ‘included’) $100.00 flat rate.

Personalization Information

Center Initial:  __________ (included) and  Surname: _____________________ (included)

Initials:  First/Middle/Last & Name to be hidden
Relationship:  Self, Husband, Wife, Son, Daughter, etc.

1st set: _________ Name to be hidden: __________________________
Relationship _________________________________  (included)

2nd set: _________ Name to be hidden: __________________________
Relationship _________________________________  (included)

3rd set: _________ Name to be hidden: __________________________
Relationship _________________________________  (included)

4th set: _________ Name to be hidden: __________________________
Relationship _________________________________ (included)

5th set: _________ Name to be hidden: __________________________
Relationship _________________________________  $20.00

6th set: _________ Name to be hidden: __________________________
 Relationship _________________________________  $20.00

7th set: _________ Name to be hidden: __________________________
 Relationship _________________________________  $20.00

8th set: _________ Name to be hidden: __________________________
Relationship _________________________________  $30.00

9th set: _________ Name to be hidden: __________________________
Relationship _________________________________  $30.00

Additional Requests (from Additional Options Pricing Sheet Below) ______________________________________________________________________
_______________________________________________________________________

 

Subtotal:

$100.00

 

Additional Sets of Initials

$_____________________

 

Additional Requests

$_____________________

 

Shipping

$5.50 usps delivery confirmation  stateside or
$8.00 airmail if required for overseas

Total to be Paid In Full at 
time of Order

Total

$______________________