Pleasant Street Stitchery, Linda Arnold
2064 State Highway 80
Edmeston, NY 13335
Phone: (607) 965-8792

To order by check or money order, please print this form, complete and mail to the address below or order by phone.  Please make checks payable to Pleasant Street Stitchery.
Name_______________________________________________________________________
Address_____________________________________________________________________
City_________________________________________State________Zip________________
Phone_______________________________Email___________________________________

Available Color Choices Red ~ Blue ~ Green ~ Carhart Brown
Item Name Color Price Qty. Total
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Order TOTAL $___________
TAX (NY residents) $___________
SHIPPING $  6.00
TOTAL $___________