Offline Order Form

Please fill out the form below after printing it out. You may phone, fax or mail in your order.
Thank you for visiting my new web site. Happy Painting!
Name:
 Address:
City:
State:
Zip Code:
Day Phone:
Items: please list book/pattern packet name
and number
Quantity
Price
   
Sub Total:
Shipping and Handling add 20% to Sub Total:
All orders must add 8% Sales Tax:
Total:

Method of payment: Please circle one.
Please make all checks or money orders payable to Kountry Keepsakes.

CheckMoney OrderVisaMasterCard

Card Number:
Expiration Date: /
3 Digit Code:
Card Holder's
Signature:
 

 

Please be sure to sign after you have printed out this form.

 

Please print out this form and send it to us by:

Mail:
Kountry Keepsakes, Inc.
Sandi Strecker
2106 Tiffany Drive
Oceanside, CA 92056

Phone:
760-722-5685

Fax:
760-721-1257

 

 

Thank you for your order!