TheHeart's Content, Inc.
www.theheartscontent.com
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Name: _____________________________

Address: ________________________________

City: __________________ State: ______________ Zip: _________

Phone: _____ - ______ - ______________

Ship To: (if different than above)
_______________________________________
_______________________________________


Quantity

 Item No.

Item Description

 Price
Each

Total
Amount

125 Page Full Color Catalog - $8.50

42 Page Glenshee Linen Swatch Catalog - $5.00


Credit Card Information:

Total:

(Note: Minimum Credit Card Order is $15.00)

Postage & Handling

    $ 4.00

1 Visa 1 MasterCard 1 Discover

 Subtotal

Credit Card Number:

Please be sure to write all numbers which appear on your card, either 13 or 16 digits, depending on the type of card.

Expiration Date (MM/YY): ___ -___

 WI Residents Add 5%Sales Tax

 GRAND TOTAL:

Additional Comments:

The Heart's Content,Inc.        4440 Indian Trail , Green Bay, WI54313            Phoneand Fax: (920) 494-9434 
Toll Free (orders onlyplease): (877)494-9434