Lucy Fazely Designs Order Form

Lucy A. Fazely
Print & Mail Order Form

To order Lucy's patterns, quilts, or fabric, please print out this form, complete requested information, and mail to: Lucy A. Fazely, P.O. Box 492, Oscoda, MI 48750. Check or money orders must be made out to Lucy A. Fazely. Canadian and all other foreign orders must order through PayPal®, no foreign checks or money orders accepted.

Date: ____________________

Name:____________________________________________________________________
Address:________________________________________________________PO Box# ____________
City:_______________________________State/Province__________________________
Zip Code ________________Phone # __________________________

E-mail Address: ______________________________

Item #	Description	Quantity	Price Each	Total Cost
			$	$






All prices include shipping costs to U.S. addresses. Please e-mail request for shipping charges to other areas of the world. MAKE CHECKS PAYABLE TO LUCY A. FAZELY		Sub-Total
		MI Residents Only 6% Sales Tax
		TOTAL DUE		$

THANK YOU FOR YOUR ORDER!