Halcyon Yarn Order Form

To order by mail or fax, print this form and then fill it out.
This will help us process your order.
To order on the internet use the shopping cart.
If there is no shopping cart for an item, then call, mail, or fax an order for those items.

If you have questions, please call us at 1-800-341-0282.
(Outside the U.S., dial 1-207-442-7909.)
Or contact us using this form.

Full Name

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Customer/Box number (Current customers only)

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Daytime telephone

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Fax number

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E-mail address

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Billing Address:

Street Address

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Street Address 2

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City

_______________________________________

State/Province

_____

Zip

____________

Country

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Shipping Address:

Same as above:

Street Address

_______________________________________

Street Address

_______________________________________

City

_______________________________________

State/Province

_____

Zip

____________

Country

_______________________________________

I am primarily a:

Weaver	Rug Hooker/Puncher
Knitter/Crocheter	Other _______________
Spinner

How did you learn about Halcyon Yarn?

_______________________________________

I would like to order a Halcyon Yarn Sample Box:

Yarn Store In A Box (for weavers), $48

Merrymeeting Collection (for spinners), $35

Kingfisher Collection (for rug hookers & punchers), $25

I would like to order the following items:
Please include item number, description, quantity and total price for each item.
Add an additional page if needed.

	Halcyon item#	Item Description	Color	Quantity	Price (US$)	Line total
1.	___________	___________________	______	______	_________	_________
2.	___________	___________________	______	______	_________	_________
3.	___________	___________________	______	______	_________	_________
4.	___________	___________________	______	______	_________	_________
5.	___________	___________________	______	______	_________	_________
6.	___________	___________________	______	______	_________	_________
7.	___________	___________________	______	______	_________	_________
8.	___________	___________________	______	______	_________	_________
9.	___________	___________________	______	______	_________	_________
10.	___________	___________________	______	______	_________	_________
Total for all items						_________
5% sales tax (Maine residents only)						_________
Estimated shipping & handling (based on pre-tax total)						_________
Total Due						_________

Payment Method: All payments must be in U.S. Funds.
Check or Money Order enclosed. Check/M.O. Amount __________

MasterCard Visa American Express
Credit Card Number _______________________ Exp. date ________
Signature _______________________________

Comments:
____________________________________________________________________
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Mail completed form to Halcyon Yarn, 12 School St., Bath, Maine 04530 USA

Or fax to: 1-207-442-0633