| Name: | __________________________________________ |
| Address line 1: | __________________________________________ |
| Address line 2: | __________________________________________ |
| City, State ZIP | ______________________, ________ _________ |
| Phone: | __________________________________________ |
| Email address: (not required) | __________________________________________ |
| Item | Price per pack | Quantity | Total |
| 6 Pack of Assorted Wildflower Note Cards (blank) | $15.00 | ||
| 5 Assorted Handmade Paper Bookmarks, individually packaged, (scented) | $20.00 | ||
| 5 Assorted Handmade Paper Bookmarks, individually packaged, (unscented) | $20.00 | ||
| 3 Assorted Wildflower Magnets | $10.50 | ||
| 2 1/4” x 3 1/2” x 1” Rectangular Wildflower Paperweight | $20.00 | ||
| Subtotal | |||
| Sales tax | KY residents add 6% | ||
| Shipping | $3.00 | ||
| Grand Total | |||
| Send check or money order to: | Luann Vermillion |
| Wildflowers by Luann | |
| P.O. Box 601 | |
| Whitesburg, KY 41858 |