Poulsbo WA, Verksted Gallery - Cookbook Order Form

Please print out this form and mail it with your check to the address shown below.

VERKSTED GALLERY COOKBOOK ORDER FORM

COST: $13.25 EACH (INCLUDES TAX AND SHIPPING). IF SHIPPING OUT OF WASHINGTON STATE, THE COST IS $12.20 EACH (NO SALES TAX). SHIPPING AVAILABLE WITHIN THE USA ONLY.

If you are ordering more than one cookbook and are shipping to different addresses,
please use a separate form for each address. Orders generally take 2 to 3 weeks to process.

DATE: ___________________

NAME: _____________________________________________________

STREET MAILING ADDRESS: __________________________________ (no P.O. box)

CITY, STATE, ZIP CODE: ______________________________________

PHONE NUMBER: ____________________________________________

NUMBER OF COOKBOOKS ORDERED: ______ TOTAL ENCLOSED: $ ________ CHECK# ________

Make checks payable to: Verksted Gallery. Please pay by check or postal money order, only.

MAIL THIS FORM WITH YOUR CHECK TO:
         VERKSTED GALLERY COOKBOOK OFFER
         P.O. BOX 922
         POULSBO, WA 98370

THANK YOU FOR YOUR ORDER!
Questions? Leave a message during business hours for Susie Hornseth at 360-697-4470.

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