23016 Westmeadow Dr. WB196
Whitney, TX 76692
(254)694-4844
e-mail wbholden@digitex.net
Name:_____________________________________________________
Address:___________________________________________________
City:_______________________State:_____________Zip:___________
Phone:_____________________E-mail:__________________________
Write the number of kits you want by each Bird.
Blue Jay _______ Cardinal _______ Grosbeak ______Sparrow _______
Wren _________ Oriole _________Blue Bird _______ Chickadee ______
All kits are $15.00(US) each or $25.00 for every two purchased.
Total Number of kits ordered:_________
Each Vest is $49.00 (US). Total Number of vests ordered ______Using the Bird list above
indicate which bird design plus number of each __________,___________,__________.
Size: M(8-10) _______ L(12-14)________ XL(16-18)________
Each Shirt is $30.00 (US). Total Number of shirts ordered ______. (1) Stars ____,
(2) Heart____, (3) Flag____.
Size: M ______ L______XL________ XXL________
Check or Money Order payable to GH Designs.
Sub Total: _________
Sales Tax:___________ (6 3/4% for TX residents only)
Shipping: ___________ ($1.50 for 1 to 4 kits) ($2.50 for 5 to 8) ($3.50 for 9 to12)
($2.50 for 1 vest or shirt, add $1.00 each for additional vests or shirts.)
Total: ______________
*Free appliqued patch with each order.
Print this form. Complete your order and mail to the above address.
Allow 3 to 4 weeks for delivery.
Don't forget to enclose Check or Money Order.
If you have any questions you may call the above number or e-mail us.