"Printer-Friendly" Dye Order Form

* Be sure to note if a monthly special is in effect for your order.

To order Dyes:

Print this page with your printer.

Fill in you shipping and contact information.

Using the long form for reference, fill in dye
"Style Numbers", "Names" and "Quantities".

Total your order.

Mail with check or money order to:

PATTY WISZUK-DE ANGELO
126 UPPER SADDLE RIVER RD.
MONTVALE, NJ 07645-1027

Ship to: _______________________________ Phone: _________________

_______________________________ E-mail: _________________

_______________________________

_______________________________

Style No. Dye Name Quantity Unit Price Total

______ __________________________ ______ ______ ______

______ __________________________ ______ ______ ______

______ __________________________ ______ ______ ______

______ __________________________ ______ ______ ______

______ __________________________ ______ ______ ______

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1 to 10 dyes= $3.75 Subtotal: ______

11 to 20 dyes= 4.25 (Shipping charges,

21 to 38 dyes= 5.85 choose from left

39 to 50 dyes= 6.65 according to PKTS.)

51 to 76 dyes= 7.75 SHIPPING: ______

Orders shipped in NJ should add (7% tax) Tax: ______

ORDER TOTAL ______

Ship to:	_______________________________	Phone:	_________________
	_______________________________	E-mail:	_________________
	_______________________________
	_______________________________

Style No.	Dye Name	Quantity	Unit Price	Total
______	__________________________	______	______	______
______	__________________________	______	______	______
______	__________________________	______	______	______
______	__________________________	______	______	______
______	__________________________	______	______	______
______	__________________________	______	______	______

1 to 10 dyes= $3.75		Subtotal:	______
11 to 20 dyes= 4.25	(Shipping charges,
21 to 38 dyes= 5.85	choose from left
39 to 50 dyes= 6.65	according to PKTS.)
51 to 76 dyes= 7.75		SHIPPING:	______
Orders shipped in NJ should add	(7% tax)	Tax:	______
	ORDER	TOTAL	______