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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.