| Date: | Mail to: Smallworks :: 503-203-6787 10465 NW Lee Street :: Portland OR 97229-6246 |
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| ITEM | PRICE | Quantity | TOTAL | |
| Supernatural Passage of Time Dust (Set of three) | $7.50 | . | . | |
| Five Classical Powers Faery Dust | $7.50 | . | . | |
| Four Leaf Clover Faery Dust | $2.50 | . | . | |
| The Gift of Music Faery Dust | $3.00 | . | . | |
| Entire set of Faery Dust | $20.50 | |||
| Melinda's Dragon Pattern | $12.00 | . | . | |
| Kells Wyvern Dragon Pattern | $12.00 | . | . | |
| Celtic Dragon Pattern | $9.00 | . | . | |
| $12.00 | . | . | ||
| Vasalisa Pocket Doll Pattern | $6.00 | . | . | |
| Extra Vasalisa Story Books (includes shipping) | $2.00 | . | . | |
| Miniature Rag Dolls Kit | $6.00 | . | . | |
| Miniature Topsy Turvy Folk Doll Kit | $6.00 | . | . | |
| Faery Doll Catalog (includes shipping) | $3.00 | . | . | |
| Subtotal: | . | |||
| SHIPPING COSTS | ||||
| One Item: | Air Mail in US | $3.00 | ||
| Priority in US | $4.95 | |||
| Air Mail outside of US | $4.00 | |||
| Two or More Items: | Air Mail in US | $4.00 | ||
| Priority in US | $4.95 | |||
| Priority to Canada | $11.45 | |||
| Priority outside US | $13.45 | |||
| Add Shipping: | . | |||
| TOTAL: | . | |||
| Send check or money order payable to Smallworks (in US funds) | |||
| If paying by credit card, please fill out the following information: | |||
| Name on card: | |||
| Circle one:........Visa.........Mastercard | Exp. date: | ||
Card Number:______________________________________________ 3-digit Security Code__________ (please write with spaces between 4 digit segments--thank you!) (on back of card next to signature) |
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| THANK YOU FOR YOUR ORDER! | |||