Thatch House Order Form

Name_____________________________________________________

Street_____________________________________________________

City_____________________State__________Zip Code___________

#
Item
Price
S & H
Total
Heavenly Pink Rose
by Elda Heidemann
$145 $5
Corizon
by Beth Keller
$20 $5
Starlight Angel
by Judy Laird
$85 $5
Glory Braid
by Morgyn Owens-Celli
$10 $5
St. Brigit's Cross
by Morgyn Owens-Celli
$14 $5
Mordiford
by Kathy Reid-Ready
$16 $5
Welsh Fan
by Kerry Tomlinson
$30 $5
Kansas Cross
by Marion Vavra
$50 $5
Swiss Straw Bouquet
limit 2
$38 $4
Total

Print this form, fill in your order, and mail it to:
American Museum of Straw Art
2324 Snowden Avenue
Long Beach, CA 90815
Please include your check or credit card number.
You may fax your order form
along with your credit card number to:  562-598-0457.
Credit card number:
Visa____MasterCard_____ Expiration date:_______
#_____________ -____________ -____________ -____________