Cowtown Cross Stitch Order Form

Your Name: _____________________________________

Street Address: _____________________________________

City, ST, Zip: _____________________________________

Phone #: _____________________________________

Email: _____________________________________

Item # Description Total

____________________________________________________________ $___________

Subtotal $___________

Do you have a validation code? ___________________________ Subtract $___________

Subtotal $___________

Add shipping charges:

$0 - $9.99 worth of merchandise, add $4.85 Priority Mail, or $2.00 Regular Mail

$10.00 - $19.99 worth of merchandise, add $4.85 Priority Mail, or $3.00 Regular Mail

$20.00 - $29.99 worth of merchandise, add $4.85 Priority Mail, or $4.00 Regular Mail

$30 - $49.99 worth of merchandise, add $6.85 Priority Mail, or $5.50 Regular Mail

$50 - $74.99 worth of merchandise, add $8.85 Priority Mail, or $6.50 Regular Mail

International orders, add $12.50

More than $75 worth of merchandise - free shipping! Add $___________

Texas residents multiply by .0625 (sales tax) and add to total.

Add $___________

Subtotal $___________

Final Total$___________

If paying by check or money order, please enclose your check or money order payable to: Cowtown Cross Stitch.

For credit card orders, please provide:

Name as it appears on the card:_____________________________________

Type of card (V / MC / D): _____________________________________

Expiration date (month / year): _____________________________________

Security code _____________________________________

(3 digits usually on the back of the card.)

Please mail this form to:

Cowtown Cross Stitch

5795 Woodvine Court

Fort Worth, TX 76140

Questions? Please email:

Sales@cowtown-cross-stitch.com with “Cross Stitch question” in the subject line.