PLEASE PRINT:	PAYMENT:
Name:	Card Number:
Street:	Verification #: __ __ __ (3 digits to right of number on back of card)
City:	Expiration Date:
State:                                          Zip:	Signature:
Phone:	E-mail:

Send check or money order to:	HEIRLOOMS & GRETCHEN'S
	136 West Main Street,
	Georgetown,  KY  40324

Please print out and mail in, or call in order (502) 863-2538 during shop hours, 10:00am - 5:00pm Monday through Saturday EST.    (Shipping will be delayed two weeks if paid by personal check)

 

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		To list additional items, please attach another piece of paper, being sure to include your name and address	SUBTOTAL:
	PLEASE NOTE:	Tax will be charged only when item(s) is shipped to a Kentucky address.	TAX: (KY Residents add 6%)
		Shipping will be charged according to current carrier rates. A small charge will be affixed for handling. We will make every effort to keep shipping and handling costs low, while not sacrificing the safety of the item(s) you order.	SHIPPING:
		WE APPRECIATE YOUR ORDER !	TOTAL:

Check the box below if you wish to be notified BY E-MAIL of total cost of the order  BEFORE shipping.