Adirondack Basketry Order Form 
Linda@AdirondackBasketry.Com
_QTY_ ____Description of Item____ Price Per _Total_
_______ __________________________________ _________ __________
_______ __________________________________ _________ __________
_______ __________________________________ _________ __________
_______ __________________________________ _________ __________
_______ __________________________________ _________ __________
_______ __________________________________ _________ __________
_______ __________________________________ _________ __________
_______   __________________________________ _________ __________
_______ __________________________________ _________ __________
Sub Total __________
Shipping and Handling __________
NY State 7.75% Sales Tax if Applicable __________
Grand Total __________
Shipping & Handling per each Address
Order Amount Shipping
$.01  -  $19.99
$20.00  -  $49..99
$50.00 to $99.99
$100.00 to $149.99
$150.00 & up		 $  6.00
$  8.00
$ 14.00
$ 16.00
$ 18.00

Please make your check payable to
Adirondack Basketry

Mail your Order to
Linda Scherz Allen
Adirondack Basketry
 6742 Butts Road
Rome, NY 13440
315-533-6246

If you wish to mail your order please include the following information

Your Name ________________________________________________________________
Address / Zip ________________________________________________________________
Phone Number ________________________________________________________________
Shipping Name and ________________________________________________________________
address - if different ________________________________________________________________
      from above ________________________________________________________________
Gift Wrapping ? ____________________________________________________________
Gift Card ? What will it say? ____________________________________________________________
Other Instructions ____________________________________________________________

close this window when you are finished