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Fall Creek Creations Order Form

Print out this page and mail it in with your check payable to Fall Creek Creations
Mail it to: PO Box 1098 Fall Creek, OR 97438 -- (541) 937-2343 PLEASE PRINT
Name ________________________________________________________

Address ______________________________________________________

Town ________________________________ State ______ Zip __________

Daytime phone __________________________________________________

Email address (optional but helpful) ___________________________________

Style Codes C=Classic W=Whimsical T=Traditional SM=Surprise Me K=Kit

Qty. -------- Style -------- Fabric Choice -------- Color -------- Price -------- Total

______________________________________________________________

______________________________________________________________

______________________________________________________________

Shipping - Please see rates on Home Page ._______________________________

ORDER TOTAL ($US) _____________________________________________

Click the picture on the left to send me an e-mail with your comments
or additional information about your order, fabric selection and/or shipping needs.

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