Longaberger® Directors & Advisors "Order Form"
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Personalized Note Cards:
(Image #279): Total Number of Boxes: ______ x $6.75 = $___________ "Basket Store"

(Image #345): Total Number of Boxes: ______ x $6.75 = $___________ "Basket Girl"

(Image #370): Total Number of Boxes: ______ x $6.75 = $___________ "Flag Basket"

(Image #388): Total Number of Boxes: ______ x $6.75 = $___________ "Basket Christmas Tree"

(Image #398): Total Number of Boxes: ______ x $6.75 = $___________ "Bee Basket"

(Image #441): Total Number of Boxes: ______ x $6.75 = $___________ "Geranium Basket"

(Image #442): Total Number of Boxes: ______ x $6.75 = $___________ "Wayside Baskets"

(Image #444): Total Number of Boxes: ______ x $6.75 = $___________ "Bee Basket Quilt"
Total Number of Boxes: ______ x $6.75 = $___________

Personalized Matted Handmade Paper Prints:
(Image #279): Quantity on Burgundy Mat:_____ Dark Green Mat:_____ Dark Blue Mat:_____

(Image #345): Quantity on Burgundy Mat:_____ Dark Green Mat:_____ Dark Blue Mat:_____

(Image #370): Quantity on Burgundy Mat:_____ Dark Green Mat:_____ Dark Blue Mat:_____

(Image #388): Quantity on Burgundy Mat:_____ Dark Green Mat:_____ Dark Blue Mat:_____

(Image #398): Quantity on Burgundy Mat:_____ Dark Green Mat:_____ Dark Blue Mat:_____

(Image #441): Quantity on Burgundy Mat:_____ Dark Green Mat:_____ Dark Blue Mat:_____

(Image #442): Quantity on Burgundy Mat:_____ Dark Green Mat:_____ Dark Blue Mat:_____

(Image #444): Quantity on Burgundy Mat:_____ Dark Green Mat:_____ Dark Blue Mat:_____
Total Number of Prints on Mats: ______ x $10 = $___________

Subtotal for Note Cards/Prints = $___________
Add 6% for shipping = $___________ (minimum $6.00)

TOTAL TO BE CHARGED TO CREDIT CARD = $___________
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Fill In Marquee Personalizations Below:
1st and 2nd line maximum of 34 characters & spaces per line.

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Circle 1: #279 / #345 / #370 / #388 / #398 / #441 / #442 / #444. Circle 1:Cards/Print. (If print, circle mat color: Burgundy/Green/Blue.)

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Circle 1: #279 / #345 / #370 / #388 / #398 / #441 / #442 / #444. Circle 1:Cards/Print. (If print, circle mat color: Burgundy/Green/Blue.)

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Circle 1: #279 / #345 / #370 / #388 / #398 / #441 / #442 / #444. Circle 1:Cards/Print. (If print, circle mat color: Burgundy/Green/Blue.)

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Circle 1: #279 / #345 / #370 / #388 / #398 / #44 1/ #442 / #444. Circle 1:Cards/Print. (If print, circle mat color: Burgundy/Green/Blue.)

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Circle 1: #279 / #345 / #370 / #388 / #398 / #441 / #442 / #444. Circle 1:Cards/Print. (If print, circle mat color: Burgundy/Green/Blue.)

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Circle 1: #279 / #345 / #370 / #388 / #398 / #441 / #442 / #444. Circle 1:Cards/Print. (If print, circle mat color: Burgundy/Green/Blue.)

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Circle 1: #279 / #345 / #370 / #388 / #398 / #441 / #442 / #444. Circle 1:Cards/Print. (If print, circle mat color: Burgundy/Green/Blue.)

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Circle 1: #279 / #345 / #370 / #388 / #398 / #441 / #442 / #444. Circle 1:Cards/Print. (If print, circle mat color: Burgundy/Green/Blue.)


Shipping Information: (We Ship Promptly Via U.S. Mail unless you request delayed shipment.)
Name _______________________________________Title _________________Phone___________________
Address__________________________________________________________________________________
City ________________________________________________State _________Zip_____________________
E-Mail Address ________________________________________________________Order Date___________
(By email, we'll confirm your order, acknowledge credit card payment and identify ship date).


If This Is Your "First" Order, Please Include The Following Visa or MasterCard Information:

Note: Do not send credit card information via email unless numbers are devided by spaces in email.
Credit Card Number _______________________________________ Expiration Date ____________________


Comments or Special Instructions to Richard and Faith:








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Prints and Note Cards published by Faith & Richard's family business:
From Something Old Company
Rural Route #2 ... McComb, Ohio 45858-9478 ... Phone/Fax: 419-293-2492
E-Mail: faith@richard-neuman-artist.com
Web Site: www.richard-neuman-artist.com