FASHION PATTERNS By Coni
ORDER FORM

FOR SINGLE-SIZE $5 PATTERNS:
Please note your full bust and hip measurements so we ship you the correct size.

FULL BUST (NOT BRA SIZE):	__________
FULL HIP:	__________
APPROXIMATE DRESS SIZE:	__________

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NAME _________________________________________ DATE _________

ADDRESS ___________________________________ PHONE ___________

CITY ______________________________ STATE ______ ZIP __________

STYLE # _______________	SIZE _______________	PRICE _______________
STYLE # _______________	SIZE _______________	PRICE _______________
STYLE # _______________	SIZE _______________	PRICE _______________
STYLE # _______________	SIZE _______________	PRICE _______________
STYLE # _______________	SIZE _______________	PRICE _______________
STYLE # _______________	SIZE _______________	PRICE _______________
STYLE # _______________	SIZE _______________	PRICE _______________
STYLE # _______________	SIZE _______________	PRICE _______________

PATTERN TOTAL:	$ _________
SHIPPING CHARGE:	$ 5.00 US, $8.00 CANADA
SALES TAX (WA only):	$ _________
GRAND TOTAL:	$ _________

PAYMENT METHOD: IF PAYING BY CHECK --
Make check payable to: Fashion Patterns

IF PAYING BY CREDIT CARD, Please include the following information:
MASTER CARD VISA AMERICAN EXPRESS DISCOVER

ACCOUNT #: ___________________________ EXPIRATION DATE: _________

NAME ON CARD: __________________________________________________ ________________________________________________________________