Mail or Fax Form
 Print out form to mail or fax in

Easy Ordering by
 Phone & FAX  (435) 336 2780

Please send all payments to:  Gooseberry Hill-31192 Old Lincoln Hwy, Wanship, UT 84017

 Only if different from "ordered by". Must include a street address.
Phone Number Phone Number
Ordered by Shipping Address
Name Name
Street Street
PO Box PO Box
City/State/Zip City/State/Zip

Email address for order confirmation

Item#

Qty.

Description

 Item Price Total
         
         
         
         
         

Merchandise Total   

 

Shipping/Handling (See Chart below)   

  

  Residents of Utah add applicable sales tax
(.066 x Merchandise Total Above)     Sales Tax

  

Order Total

  
Method of Payment  (Circle one)   Check     Visa    MasterCard     American Express

  Name on card _____________________________________

  Credit Card Number ________________________________

  Expiration Date ________________  Sec Code ___________

  Signature _________________________________________
 

 

 

 

 

 

Shipping & Handling Costs to EACH USA Address

Please send us an email to receive International shipping costs 

Number
of
Patterns
Ordered		 Ship &
Handling
Fee		 Mail Class
1 2.63 First Class 
2 2.87 First Class 
3 3.11 First Class 
4 3.35 First Class 
5 3.59 First Class 
6 3.83 First Class 
7 4.07 First Class 
8 4.31 First Class 
9 4.55 First Class 
10 5.27 First Class 
11 to 25 7.05 1 Priority Envelope
26 to 60 12.10 1 Priority Box
61 to 85 17.15 1 Priority Box & 1 Priority Envelope
86 to 120 21.20 2 Priority Boxes
121 +   Call For Shipping Cost