Jackie's Embroidery
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ORDER FORM
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Welcome to Jackie's Embroidery Connection Order Form. To use this form please browse our Design pages. Write down the item number and cost of each design you are interested in ordering. Then return here and insert these values into the order form. Total the cost of your order and type your total cost into the "Total Due" field. Also be sure to fill in the "Your E-mail Address" field. Then please PRINT OUT your completed Order Form. Mail this Order Form along with your check or money order payable to: Jackie's Embroidery Connection to the address below. Designs will be e-mailed to you upon receipt of your order and payment. Thank you for your business!

If ordering by credit card using PAYPAL please include the Item Numbers and Format Desired of what you are ordering along with your email request to PAYPAL authorizing payment to Jackie's Embroidery Connection. Please print this form when completed and keep as your receipt!

If paying by check or money order please make payable to Jackie's Embroidery Connection!

Jackie's Embroidery Connection! | 5317 Davis Rd. | Winston-Salem, N.C. 27105

Method of Payment: Check/Money Order Credit Card Using PAYPAL

Check here if diskette is desired!

None:If so please click on format desired! PES PCS HUS SEW DST or ART

Name: Street Address:

City: State: ZipCode:

>>Your E-Mail Address!>>

Design Item #:

Design Cost:

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Sub Total:

Shipping & Handling: ( $3.50 If diskette desired)  
NC Residents add 6% Sales Tax:
Total Enclosed:

When purchasing any designs from this site, please keep in mind that you may use them on articles you wish to sell for profit. However, the artwork and digitizing are the sole property of Jackie's Embroidery Connection. Any other use of said designs or artwork is strictly prohibited!

If you have any questions regarding ordering and receiving designs please e-mail us at Jackies@triad.rr.com .

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