Mekong River Textiles 607 Dale Drive Silver Spring, MD 20910 Phone/fax: 301-589-1432
Please fill out this order form and mail or fax to the address above. Quantity orders and shops, please phone for rates.
Name: ______________________________________________________ Address: ____________________________________________________ City and State: _________________________________ ZIP: __________ Phone (days): __________________ Phone (evenings): ________________
Pattern Number and Name	Quantity	Total Cost
1. Moon Blossom Blouse @ $10.95
2. Trumpet Skirt @ $10.95
3. River Jacket @ $10.95
4. Rainbow Pullover @ $10.95
MD residents, please add 5% state sales tax:
Shipping/handling: 1 or 2 patterns $2.50 3 or 4 patterns $3.50 5 or 6 patterns $4.50
Total enclosed:
VISA/Mastercard Orders Welcome! Please phone 301-589-1432 with order and card number.
U.S. funds only, please. Make checks or money orders payable to Mekong River Textiles.