ANG Jewelry Order Form
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To order ANG Jewelry, you must be a member of ANG.
Make checks payable to ANG, Inc.
Payments must be in US dollars drawn on US bank, or you can send international postal money orders in US dollars.
Send this form and a check for the specified amount to:
Sue Ella Allen
608 Euclid St
Houston TX 77009-7227
You must include a photocopy of your mailing label from the most recent issue of Needle Pointers.
Name: |
___________________________________________ | |
Address: |
___________________________________________ | |
Apartment Number: |
___________________________________________ | |
City & State or Province: |
___________________________________________ | |
Zip or Postal Code: |
___________________________________________ | |
Country: |
___________________________________________ | |
Home Phone: |
___________________________________________ | |
Work Phone: |
___________________________________________ | |
Email Address: |
___________________________________________ |
| Quantity | Item | Price | Total | |||||
Gold Plated |
||||||||
| ______ | Small Logo Charm | $20.00 | ||||||
| ______ | Small Logo Tie Tack | $20.00 | ||||||
| ______ | Medium Logo Pin | $38.00 | ||||||
| ______ | Medium Logo Tie Tack | $30.00 | ||||||
| ______ | Medium Logo Charm | $30.00 | ||||||
| ______ | Large Logo Pin | $40.00 | ||||||
| ______ | Sewing Bird Charm | $20.00 | ||||||
| ______ | Scissors Charm | $20.00 | ||||||
| ______ | President's Pin * | $35.00 | ||||||
| Sterling Silver | ||||||||
| ______ | Small Logo Tie Tack | $30.00 | ||||||
| ______ | Small Logo Pin | $40.00 | ||||||
| ______ | Medium Logo Charm | $40.00 | ||||||
| ______ | Medium Logo Pin | $50.00 | ||||||
| ______ | Medium Logo Tie Tack | $40.00 | ||||||
| ______ | Large Logo Pin | $60.00 | ||||||
| ______ | Large Logo Charm | $50.00 | ||||||
| ______ | Sewing Bird Charm | $30.00 | ||||||
| ______ | Scissors Charm | $30.00 | ||||||
| ______ | Thimble Charm | $30.00 | ||||||
Other |
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| ______ | Life Patron Pin/Pendant | $45.00 | ||||||
| ______ | Correspondence Course Tie Tack | $6.00 | ||||||
| ______ | Cyber Stitchers Tie Tack | $5.00 | ||||||
| ______ | Gift Certificate *** | |||||||
| Jewelry Total | ||||||||
| Postage & Handling Fees | ||||||||
| $1.00 to $10.00 | $3.00 | |||||||
| $10.01 to $25.00 | $3.75 | |||||||
| $25.01 to $50.00 | $4.50 | |||||||
| $50.01 to $75.00 | $5.50 | |||||||
| $75.01 and over | $6.50 | |||||||
| For postage to Canada add $1.00, to other international locations add $2.00. | ||||||||
| Total Postage and Handling | ||||||||
| Total Enclosed | ||||||||
| * | Please provide a note from current chapter president or treasurer stating recipient's name, term of office and membership number. Payment by chapter check only. |
| ** | Orders for Life Patron's tie tack will be verified for status. |
| *** | Enter amount of gift. |
| **** | Enter city name of seminar. |